KYLE BASTOS MS, LPC
NPI 1013791441
Counselor - Mental Health in Houston, TX

Active since August 24, 2023PECOS Enrolled
4119 MONTROSE BLVD STE 500, HOUSTON, TX 77006(512) 956-6463(866) 653-5142 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 19, 2025, Aug 24, 2023 (2 updates tracked since 2023).

About Kyle Bastos Ms, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE BASTOS MS, LPC (NPI 1013791441) is an individual mental health provider in Houston, Texas, licensed in Texas (86959) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013791441
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKYLE BASTOSCredential: MS, LPC
Location Address4119 MONTROSE BLVD STE 500Houston, TX 77006-4970
Mailing Address124 Emerald Cloud LnLeague City, TX 77573-0764
Fax(866) 653-5142
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 24, 2023
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1013791441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 86959
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 61886 (TX)
4119 MONTROSE BLVD STE 500, Houston, TX 77006

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Bastos Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385176403
PECOS Enrollment IDI20241015000534
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Bastos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling
508 DEEP EDDY AVE.
Austin, TX 78703
  • Reassigned Medicare billing, Texas enrollment
  • 108 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
4119 MONTROSE BLVD STE 500
HOUSTON, TX 77006
Social Worker (Clinical)
4119 MONTROSE BLVD STE 500
HOUSTON, TX 77006
Counselor (Professional)
4119 MONTROSE BLVD STE 500
HOUSTON, TX 77006
Counselor (Professional)
4119 MONTROSE BLVD STE 500
HOUSTON, TX 77006
Social Worker (Clinical)
4119 MONTROSE BLVD STE 500
HOUSTON, TX 77006
Psychologist (Counseling)
4119 MONTROSE BLVD STE 500
HOUSTON, TX 77006
Counselor
4119 MONTROSE BLVD STE 500
HOUSTON, TX 77006
Nurse Practitioner (Psychiatric/Mental Health)
4119 MONTROSE BLVD STE 500
HOUSTON, TX 77006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Bastos's NPI number?

The NPI number for Kyle Bastos is 1013791441. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Where is Kyle Bastos located?

Kyle Bastos practices at 4119 Montrose Blvd Ste 500, Houston, TX 77006. The listed phone number is (512) 956-6463.

What is Kyle Bastos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kyle Bastos enrolled in Medicare?

Yes. Kyle Bastos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyle Bastos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Bastos reassigns Medicare benefits to Deep Eddy Psychotherapy Management, LLC (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Bastos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Bastos accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Kyle Bastos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Bastos was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.