Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kyle Lezon Dennehy , BA, AAC

Counselor β€’ Lacey, WA

Active NPI 1053845149 Individual Practitioner Male Practitioner
Practice location in NPPES

612 Woodland Square Loop Se
Lacey, WA 985031069

Call 3603309044 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

612 Woodland Square Loop Se

Lacey, WA 985031069

Telephone 3603309044
Organization at the Same NPPES Address or Phone
Consumer Direct Care Network Washington, Llc Facility NPI 1124653993

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lacey and Washington

45 active clinicians are listed under Counselor with a practice address in Lacey, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lacey

0% of these 45 clinicians have the CMS telehealth indicator.

2.2% of these 45 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA CG60153968

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Monica Aparicio , ARNP

Nurse Practitioner

NPI 1235529843

Advanced Registered Nurse Practitioner

Luke Greene , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134423056

Psychiatric-Mental Health Nurse Practitioner

Duane Patterson

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154054344

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 13, 2018

Registered at 612 WOODLAND SQUARE LOOP SE, LACEY, WA 985031069 (Tel: 3603309044)

πŸ“
Updated Business Mailing Address December 13, 2018

Registered at 612 WOODLAND SQUARE LOOP SE, LACEY, WA 985031069 (Tel: 3607635828)

βœ…
NPI Profile Active April 14, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 14, 2017

Registered at 2428 W REYNOLDS AVE, CENTRALIA, WA 985314554 (Tel: 3603309044)

πŸ“
Business Mailing Address (Initial Record) April 14, 2017

Registered at 2428 W REYNOLDS AVE, CENTRALIA, WA 985314554 (Tel: 3603309044)

πŸ‘€
Provider Name / Credentials (Initial Record) April 14, 2017

Recorded as KYLE DENNEHY, BA, AAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2017

Counselor (license number reported to NPPES: WA CG60153968)

🟒
Initial NPI Registration & Enumeration April 14, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1053845149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2017
Last Update: December 13, 2018
Sole Proprietor: No

Mailing Address

612 Woodland Square Loop Se

Lacey, WA 985031069

Phone: 3607635828

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.