KYLE J. LASSITER L.P.C.
NPI 1275743197
Counselor - Mental Health in Canon City, CO

Q: What is Kyle Lassiter's NPI number?

The NPI number for Kyle Lassiter is 1275743197. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Kyle Lassiter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyle Lassiter was last updated on December 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 22, 2007PECOS Enrolled

3225 INDEPENDENCE RD, CANON CITY, CO 81212(719) 275-2351(719) 269-9386 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kyle J. Lassiter L.p.c. NPPES

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

KYLE J. LASSITER L.P.C. (NPI 1275743197) is an individual mental health provider in Canon City, Colorado, licensed in Colorado (LPC-1449) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1275743197

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKYLE J. LASSITERCredential: L.P.C.

Location Address3225 INDEPENDENCE RDCanon City, CO 81212-9380

Mailing Address3225 Independence RdCanon City, CO 81212-9380 · (719) 275-2351 · Fax (719) 269-9386

Phone(719) 275-2351

Fax(719) 269-9386

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateMay 22, 2007

Last NPPES UpdateDecember 16, 2019

✔ NPI 1275743197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CO · LPC-1449

3225 INDEPENDENCE RD, Canon City, CO 81212

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Other Identifiers 1

Medicaid84288035CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle J. Lassiter L.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284086984

PECOS Enrollment IDI20250512002753

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.

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