MICKELL LETHCO
NPI 1912350919
Psychologist in Walnut Creek, CA
About Mickell Lethco NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICKELL LETHCO (NPI 1912350919) is an individual psychologist in Walnut Creek, California, licensed in California (33936) and active in the NPI registry since July 2016. She has opted out of Medicare through July 2, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mickell Lethco has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 2, 2024 through July 2, 2028.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
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 Mickell Lethco's NPI number?
The NPI number for Mickell Lethco is 1912350919. It was assigned to this individual provider in the NPPES registry on July 14, 2016.
Where is Mickell Lethco located?
Mickell Lethco practices at 1910 Olympic Blvd Ste 300, Walnut Creek, CA 94596. The listed phone number is (925) 322-1231.
What is Mickell Lethco's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Mickell Lethco enrolled in Medicare?
No. Mickell Lethco has opted out of Medicare through July 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Mickell Lethco was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.