MS. KAITLIN LEZCANO LYTLE (NPI# 1881114056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881114056 |
Entity Type | Individual |
Full Name | MS. KAITLIN LEZCANO LYTLE |
Credential | LMFT |
Practice Address |
3525 Monterey Dr St Louis Park MN 55416-5275 |
Mailing Address |
4620 York Ave S Minneapolis MN 55410-1866 |
Practice Telephone | 9529935990 |
Mailing Telephone | 6123080246 |
Enumeration Date | 2017-06-20 |
Last Update Date | 2017-06-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
3414 | MN | Behavioral Health & Social Service Providers |
Street Address |
3525 MONTEREY DR |
City | ST LOUIS PARK |
State | MN |
Zip Code | 55416-5275 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275519563 | Deborah Mangham | Family Medicine | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2005-12-19 |
1003440371 | Samantha Marie Slinger | Occupational Therapist | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2020-02-26 |
1528603412 | Kelli Lynn Jones | Dietitian, Registered | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2019-11-14 |
1558919068 | Lucy Ramquist | Dietitian, Registered | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2019-08-28 |
1174170146 | Miranda Larson | Dietitian, Registered | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2019-08-23 |
1467014043 | Kendra Rose Johnson | Occupational Therapist | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2019-07-03 |
1669952180 | Hannah Paruzynski | Dietitian, Registered | 3525 Monterey Dr, St Louis Park, MN 55416 | 2018-08-14 |
1497283253 | John Leland Mckinley | Nurse Practitioner | 3525 Monterey Dr, St Louis Park, MN 55416 | 2017-05-24 |
1417483744 | Kayla Joy Muckenhirn | Occupational Therapist | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2017-05-05 |
1285170357 | Benjamin Hamilton Meyers | Counselor | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2017-01-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
Find all providers in zip 55416 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336765874 | Behavioral Health Alliance | Counselor | 5871 Cedar Lake Rd S Ste 202, St Louis Park, MN 55416-1479 | 2020-06-21 |
1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
1992277313 | Gail M. Yost and Associates, LLC | Counselor | 5000 W 36th St Ste 207, St Louis Park, MN 55416-2758 | 2018-12-24 |
1497204044 | Brenda Brooks | Counselor | 8800 Highway 7 Ste 200, St Louis Park, MN 55426-3955 | 2016-09-23 |
1235337999 | Susan Marie Gallucci | Counselor | 5891 Cedar Lake Rd S # 103, St Louis Park, MN 55416-1460 | 2007-07-04 |
1427107085 | Alicia Maria Barrs | Counselor | 4023 Sunset Blvd, St Louis Park, MN 55416-4132 | 2007-01-10 |
1659458628 | Paul Allen Buckley | Counselor | 7515 Wayzata Blvd Ste 209, St Louis Park, MN 55426-1635 | 2006-11-01 |
1356954481 | Travis Scott Michaels | Counselor | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1653 | 2020-08-28 |
1710590914 | Melissa Norland | Counselor | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1653 | 2020-08-26 |
1003438268 | Abubakar Binji | Counselor | 4236 Park Glen Rd, St Louis Park, MN 55416-4758 | 2020-05-11 |
Find all providers in ST LOUIS PARK |
City | ST LOUIS PARK |
Zip Code | 55416 |
Please comment or provide details below to improve the information on MS. KAITLIN LEZCANO LYTLE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.