Mr Kyle William Ross, LPCC in Spring Lake Park, MN

Mr Kyle William Ross, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Spring Lake Park, Minnesota. His current practice location is 7766 Highway 65 Ne, Spring Lake Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 205-4843.

Mr Kyle William Ross is licensed to practice in Minnesota (license number CC01396) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528502598.

Contact Information

	Mr Kyle William Ross, LPCC
	7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832
	(763) 205-4843
	(612) 416-2085

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kyle William Ross
Gender	Male
Speciality	Counselor - Mental Health
Location	7766 Highway 65 Ne, Spring Lake Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528502598
Provider Enumeration Date: 12/11/2016
Last Update Date: 04/09/2025

Medicare PECOS Information:

PECOS PAC ID: 3375081086
Enrollment ID: I20240813002068

Medical Identifiers

Medical identifiers for Mr Kyle William Ross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528502598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CC01396 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kyle William Ross allows following entities to bill medicare on his behalf.

Entity Name	Lyn-lake Psychotherapy And Wellness Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609355163 PECOS PAC ID: 9638581291 Enrollment ID: O20201224000071

Entity Name	Expanse - A Minnesota Mental Health Ketamine & Psychedelic Psychother
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528726775 PECOS PAC ID: 3779940937 Enrollment ID: O20230601002840

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kyle William Ross is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kyle William Ross, LPCC 7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 Ph: (763) 205-4843	Mr Kyle William Ross, LPCC 7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 Ph: (763) 205-4843

Reviews and Comments

Counselor in Spring Lake Park, MN

Charles Bernard Hilger Jr., LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7766 Highway 65 Ne, Spring Lake Park, MN 55432 Phone: 612-670-7769
Christina Lefkowich, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7766 Highway 65 Ne, Spring Lake Park, MN 55432 Phone: 763-298-9100 Fax: 763-298-9250
Kristine Marie Pappone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7766 Highway 65 Ne, Spring Lake Park, MN 55432 Phone: 763-789-4895
Mr. Aaron Jonathan Close, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 7766 Highway 65 Ne, Spring Lake Park, MN 55432 Phone: 763-205-4843
Ms. Dawn Hofstad Strommen, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1485 81st Ave Ne, Spring Lake Park, MN 55432 Phone: 763-780-3036
Magn Nyang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 542 82nd Ave Ne, Spring Lake Park, MN 55432 Phone: 612-636-8926
Mr. Jeffrey Ruhland, MS, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 913 Manor Dr Ne, Spring Lake Park, MN 55432 Phone: 612-412-1334 Fax: 612-234-4581

Mr Kyle William Ross, LPCC - Medicare Counselor in Spring Lake Park, MN