KYLE PRIVETT LPC
NPI 1124520796
Counselor - Professional in Salem, MO

Active since February 28, 2018PECOS EnrolledAccepts Medicare Assignment
913 S PERSHING AVE, SALEM, MO 65560(888) 403-1071 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2021, Apr 7, 2020, Jan 31, 2019 and 2 more (5 updates tracked since 2018).

About Kyle Privett Lpc NPPES

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

KYLE PRIVETT LPC (NPI 1124520796) is an individual professional provider in Salem, Missouri, licensed in Missouri (2017009269) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1124520796
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKYLE PRIVETTCredential: LPC
Location Address913 S PERSHING AVESalem, MO 65560-1845
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 28, 2018
Last NPPES UpdateApril 22, 20215 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
NPI 1124520796 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 MO · 2017009269
913 S PERSHING AVE, Salem, MO 65560

Other Names 1

Former Name (1)Kyle Brandenburg Plpc

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kyle Privett Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981052412
PECOS Enrollment IDI20231122001126
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 10

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

Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560
Psychiatry & Neurology (Psychiatry)
913 S PERSHING AVE
SALEM, MO 65560
Social Worker
913 S PERSHING AVE
SALEM, MO 65560
Psychiatry & Neurology (Psychiatry)
913 S PERSHING AVE
SALEM, MO 65560
Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560
Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560
Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560
Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560

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 Privett's NPI number?

The NPI number for Kyle Privett is 1124520796. It was assigned to this individual provider in the NPPES registry on February 28, 2018. The provider is also known as Kyle Brandenburg Plpc.

Where is Kyle Privett located?

Kyle Privett practices at 913 S Pershing Ave, Salem, MO 65560. The listed phone number is (888) 403-1071.

What is Kyle Privett's specialty?

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

Is Kyle Privett enrolled in Medicare?

Yes. Kyle Privett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kyle Privett accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Kyle Privett 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 Privett was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.