1. Home
  2. Directory
  3. Minnesota
  4. Spring Lake Park
  5. Counselor
  6. NPI Profile

MR. KYLE WILLIAM ROSS LPCC
NPI 1528502598
Counselor - Mental Health in Spring Lake Park, MN

Active since December 11, 2016PECOS EnrolledAccepts Medicare Assignment
7766 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432(763) 205-4843(612) 416-2085 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Kyle William Ross Lpcc NPPES

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

MR. KYLE WILLIAM ROSS LPCC (NPI 1528502598) is an individual mental health provider in Spring Lake Park, Minnesota, licensed in Minnesota (CC01396) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1528502598
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KYLE WILLIAM ROSSCredential: LPCC
Location Address7766 HIGHWAY 65 NESpring Lake Park, MN 55432-2832
Mailing Address7766 Highway 65 NeSpring Lake Park, MN 55432-2832 · (763) 205-4843 · Fax (612) 416-2085
Phone(763) 205-4843
Fax(612) 416-2085
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 11, 2016
Last NPPES UpdateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1528502598 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 MN · CC01396
7766 HIGHWAY 65 NE, Spring Lake Park, MN 55432
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kyle William Ross Lpcc 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 ID3375081086
PECOS Enrollment IDI20240813002068
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 Ross reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Expanse - A Minnesota Mental Health Ketamine & Psychedelic Psychother
9.5 mi
Mental Health (Including Community Mental Health Center)
2701 UNIVERSITY AVE SE STE 204
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 16 clinicians in this Medicare group
NPI 1528726775 (763) 205-4843

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 20

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

BRUCE H FIELD MD
Psychiatry & Neurology (Psychiatry)
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 205-4843
KATIE ELLEN STEEN M.D.
Psychiatry & Neurology (Psychiatry)
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 205-4843
ETHOS RECOVERY CLINIC, INC.
Clinic/Center (Methadone)
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Anoka County (612) 670-7769
DR. JOHN LICHTSINN M.D.
Psychiatry & Neurology (Psychiatry)
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 205-4843
MARC MOONEY PHD
Psychologist (Clinical)
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 205-4843
CHARLES BERNARD HILGER JR. LADC
Counselor (Addiction (Substance Use Disorder))
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Anoka County (612) 670-7769
LING FAMILY DENTISTRY, P.A.
Dentist (General Practice)
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 784-1993
PATRICIA JEAN DICKMANN M.D.
Psychiatry & Neurology (Psychiatry)
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 205-4843

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 Ross's NPI number?

The NPI number for Kyle Ross is 1528502598. It was assigned to this individual provider in the NPPES registry on December 11, 2016.

Where is Kyle Ross located?

Kyle Ross practices at 7766 Highway 65 NE, Spring Lake Park, MN 55432. The listed phone number is (763) 205-4843.

What is Kyle Ross's specialty?

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

Is Kyle Ross enrolled in Medicare?

Yes. Kyle Ross 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.

Which organization bills Medicare for Kyle Ross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Ross reassigns Medicare benefits to Expanse - A Minnesota Mental Health Ketamine & Psychedelic Psychother (Minneapolis, MN). 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 Ross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Ross accept?

Health plans from HealthPartners and Medica list Kyle Ross 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 Ross was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.