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KENNY LE LPC
NPI 1104413723
Counselor - Professional in Northglenn, CO

Active since December 29, 2020PECOS Enrolled
10190 BANNOCK ST STE 120, NORTHGLENN, CO 80260(303) 237-6865 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2024, Dec 29, 2020 (2 updates tracked since 2020).

About Kenny Le Lpc NPPES

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

KENNY LE LPC (NPI 1104413723) is an individual professional provider in Northglenn, Colorado, licensed in Colorado (LPC.0020889) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104413723
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKENNY LECredential: LPC
Location Address10190 BANNOCK ST STE 120Northglenn, CO 80260-6052
Mailing Address10190 Bannock St Ste 120Northglenn, CO 80260-6052 · (303) 237-6865
Phone(303) 237-6865
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 29, 2020
Last NPPES UpdateJune 29, 20242 updates tracked since enumeration
NPPES CertifiedJune 29, 2024
✔ NPI 1104413723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0020889
10190 BANNOCK ST STE 120, Northglenn, CO 80260
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenny Le Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204318355
PECOS Enrollment IDI20260306001975
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.

Other Providers at the Same Location NPPES 20

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

GRACE ELISE KACKSTAETTER MA, MFTC
Counselor (Mental Health)
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (970) 460-8009
RACHEL MARIE CARWIN BSW
Social Worker
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (303) 237-6865
ELIZABETH PRATT
Counselor (Mental Health)
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (720) 826-3499
LINDSAY PRUITT LPCC
Counselor (Mental Health)
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (720) 826-3499
CASSANDRA DETWILER
Social Worker
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (303) 237-6865
ALYSSA BATES MSW, LCSW
Social Worker (Clinical)
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (720) 446-8227
SONIYA POKHAREL
Counselor (Mental Health)
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (303) 237-6865
IZABELLA KHODIK
Behavior Technician
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (303) 237-6865

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 Kenny Le's NPI number?

The NPI number for Kenny Le is 1104413723. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Where is Kenny Le located?

Kenny Le practices at 10190 Bannock St Ste 120, Northglenn, CO 80260. The listed phone number is (303) 237-6865.

What is Kenny Le's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kenny Le enrolled in Medicare?

Yes. Kenny Le is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenny Le was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.