KYLE ANDERSON
NPI 1750800017
Counselor - Professional in Bucyrus, OH

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since September 18, 2017PECOS Enrolled

2458 STETZER RD, BUCYRUS, OH 44820(419) 562-2000 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 19, 2026, Jan 29, 2026, Sep 18, 2017 (3 updates tracked since 2017).

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About Kyle Anderson NPPES

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

KYLE ANDERSON (NPI 1750800017) is an individual professional provider in Bucyrus, Ohio and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fremont, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750800017

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameKYLE ANDERSON

Location Address2458 STETZER RDBucyrus, OH 44820-2066

Mailing Address1404 Park Ave WOntario, OH 44906-2719 · (419) 522-6191

Phone(419) 562-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 18, 2017

Last NPPES UpdateMarch 19, 20263 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1750800017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

2458 STETZER RD, Bucyrus, OH 44820

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Secondary Practice Location 1

Location 1675 Bartson RdFremont, OH 43420-9672 · Phone (419) 332-5524 · Fax (419) 332-7581

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

PECOS PAC ID6204318082

PECOS Enrollment IDI20260302001541

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.

COMMUNITY COUNSELING SERVICES, INC.

Clinic/Center