KIM L LASECKI PHD
NPI 1235114513
Psychologist - Clinical Child & Adolescent in Green Bay, WI

NPI Status: Active since December 09, 2005

Contact Information

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301
Phone: (920) 433-6073

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  • Individual
  • Male
  • Psychologist
  • Clinical Child & Adolescent
  • Accepts Insurance
  • PECOS Enrolled

About KIM LASECKI

This page provides the complete NPI Profile along with additional information for Kim Lasecki, a provider established in Green Bay, Wisconsin with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1235114513 assigned on December 2005. The practitioner's primary taxonomy code is 103TC2200X with license number 2448 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1235114513
Provider Name
KIM L LASECKI PHD
Gender
Male
Entity Type
Individual
Location Address
301 E SAINT JOSEPH ST GREEN BAY, WI 54301
Location Phone
(920) 433-6073
Mailing Address
301 E SAINT JOSEPH ST GREEN BAY, WI 54301
Mailing Phone
(920) 433-6073
Is Sole Proprietor?
No
Enumeration Date
12-09-2005
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
2448
License State
WI
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • HMO Bronze $0 Medical Deductible - HMO
  • HMO Bronze 7500 - HMO
  • HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
  • HMO Gold 1500 - HMO
  • HMO Gold 2400 - HMO
  • HMO HDHP Bronze 7200 - HMO
  • HMO HDHP Silver 5400 - HMO
  • HMO Silver 5000 - HMO
  • HMO Silver 6600 - HMO
  • POS Bronze 7500 - POS
  • Chorus Bronze Complete - EPO
  • Chorus Bronze HDHP - EPO
  • Chorus Catastrophic - EPO
  • Chorus Core Bronze - EPO
  • Chorus Core Gold - EPO
  • Chorus Core Silver - EPO
  • Chorus Elite Gold - EPO
  • Chorus Gold - EPO
  • Chorus Silver - EPO
  • Chorus Silver Select - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Robin Oak $1,000 Gold - PPO
  • Engage by Medica Bronze HSA - EPO
  • Engage by Medica Bronze Share - EPO
  • Engage by Medica Expanded Bronze Standard - EPO
  • Engage by Medica Gold $0 Copay PCP Visits - EPO
  • Engage by Medica Gold Share - EPO
  • Engage by Medica Gold Standard - EPO
  • Engage by Medica Silver $0 Copay PCP Visits - EPO
  • Engage by Medica Silver Share - EPO
  • Engage by Medica Silver Standard - EPO
  • Essentia Choice Care with Medica Bronze HSA - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kim Lasecki is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for KIM L LASECKI PHD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235114513
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226521852
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 1 + 8 + 5 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1235114513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DENISE M BALZOLA MSW

Counselor

(Mental Health)

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-6073

JOLAYNE M BOEHMKE LPC

Counselor

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-3673

MARY L HILL LCSW

Social Worker

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-6073

BLISS A BAUDHUIN LPC

Counselor

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-6073

LESLIE A KOCHA APSW

Social Worker

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-6073

MARGARET ROSE LEGLER LCSW

Social Worker

(Clinical)

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-6073

ERIC L LAVARDA LPC

Social Worker

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-6073

DONNA L RASMUSSEN LCSW

Social Worker

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-6073

JONI CONSTANCE DELWICHE LCSW

Social Worker

(Clinical)

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-6073

LYNETTE MARIE HARRIS LCSW

Social Worker

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-6073

DR. CARLOS S CASTILLO MD

Psychiatry & Neurology

(Psychiatry)

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-3630

BELLIN PSYCHIATRIC CENTER INC

Psychiatric Hospital

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-3630

MARY L GIBSON MS

Counselor

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 430-3630

MARY M MCKAY CADC LLL

Counselor

(Addiction (Substance Use Disorder))

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-3630

BELLIN PSYCHIATRIC CENTER

Clinic/Center

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-3630

PATRICIA L VANDERMAUSE LPC ,CSAC

Counselor

(Professional)

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-3630

MS. ABBIE HONZIK RNC MSE

Counselor

(Mental Health)

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 431-5533

PATSY L WHITE MSW

Counselor

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-3630

RICHARD F. RIDER PSY.D.

Psychologist

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-7992

TERESA A ROBBINS LPC, CSAC

Counselor

(Professional)

301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301

(920) 433-3630

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235114513, enumerated as an "individual" on December 09, 2005.

The provider is located at 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 and the phone number is (920) 433-6073.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.