KYLE J. LASSITER (NPI# 1275743197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275743197 |
| Entity Type | Individual |
| Full Name | KYLE J. LASSITER |
| Credential | L.P.C. |
| Practice Address |
3225 Independence Rd Canon City CO 81212-9380 |
| Practice Telephone | 7192752351 |
| Practice Fax Number | 7192699386 |
| Mailing Telephone | 7192752351 |
| Mailing Fax Number | 7192699386 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-1449 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 84288035 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205167897 | Kyle Lassiter | Physical Therapist | 295 E 29th St, Suite 10, Loveland, CO 80538-2743 | 2010-01-20 |
| Street Address |
3225 INDEPENDENCE RD |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-9380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336194299 | Mary Ann Elizabeth Alessi-richards | Nurse Practitioner | 3225 Independence Rd, Canon City, CO 81212-9380 | 2006-05-22 |
| 1598376691 | Lana Louise Leonard | Social Worker | 3225 Independence Rd, Canon City, CO 81212-9380 | 2020-08-12 |
| 1497399570 | Marc-andre Rameau | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-11-01 |
| 1033779574 | Jenifer Papaccio | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-06-17 |
| 1346700572 | David Bokel | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-03-22 |
| 1992263081 | Stephanie Traub | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-03-07 |
| 1205393204 | Aurelia N Erivynn | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-02-26 |
| 1407327547 | Marci Lauree Harrison Wright | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2018-12-16 |
| 1669942231 | Dean Garcia Jr. | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212 | 2018-11-27 |
| 1235609975 | Amy Bergant | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1073762605 | Jessica Chavez | Counselor | 1426 Birch St, Canon City, CO 81212-4428 | 2008-09-18 |
| 1659420016 | Lois Jean Sillaman | Counselor | 3130 Elizabeth Ave, Canon City, CO 81212-9142 | 2007-01-08 |
| 1083673750 | George W. Scudella | Counselor | 615 N 15th St, Canon City, CO 81212-2313 | 2006-03-21 |
| 1245853050 | Michele Denise Young | Counselor | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2020-05-27 |
| 1700417458 | Alyssa Mitchell | Counselor | 3239 Independence Rd, Canon City, CO 81212-9380 | 2020-01-31 |
| 1346700572 | David Bokel | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-03-22 |
| 1619442068 | Jessica Shiflett | Counselor | 1335 Phay Ave, Canon City, CO 81212-2334 | 2018-10-11 |
| 1881187250 | Lisa Dawn Auriti | Counselor | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2018-06-11 |
| 1942710157 | Amber Irving | Counselor | 602 Yale Pl, Canon City, CO 81212-4611 | 2017-10-03 |
| Find all providers in CANON CITY | ||||
| City | CANON CITY |
| Zip Code | 81212 |
Please comment or provide details below to improve the information on KYLE J. LASSITER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.