Individual provider Active NPI

Daniel J Lebsack, LPC

  • Professional Counselor
  • Woodland Park, CO
National Provider Identifier
1922586908
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14643 Issued in CO
Practice address
700 Valley View Dr Unit D
Woodland Park, CO 80863-8000
Phone
(719) 290-4393
NPI assigned
Aug 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 76462 TX
Professional Counselor 101YP2500X 14643 CO Primary

Addresses

Primary practice location

700 Valley View Dr Unit D
Woodland Park, CO 80863-8000

Mailing address

211 Pennsylvania Ave
Woodland Park, CO 80863-8823
Phone (972) 834-0604

Other practice location 1

211 Pennsylvania Ave
Woodland Park, CO 80863-8823
Phone (972) 834-0604

Other practice location 2

2950 Professional Pl Ste 201
Colorado Springs, CO 80904-8106
Phone (719) 290-4393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14643COMDProfessional Counselor
76462TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Colorado Counseling Professional Current Accepting new patients

Locations

700 Valley View Dr
Unit D
Woodland Park, CO 80863
Phone (719) 290-4393

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1922586908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PENNSYLVANIA AVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638823",
            "telephone_number": "972-834-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VALLEY VIEW DR UNIT D",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638000",
            "telephone_number": "719-290-4393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Woodland Park",
            "state": "CO",
            "postal_code": "808638823",
            "country_code": "US",
            "telephone_number": "972-834-0604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 Professional Pl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809048106",
            "country_code": "US",
            "telephone_number": "719-290-4393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBSACK",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76462",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "14643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.