MATTHEW AARON LASSLO NPI 1003426545

NPI Information

  • NPI: 1003426545
  • Provider Name: MATTHEW AARON LASSLO
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 463 S LAKE POWELL BLVD
    PAGE, AZ
    ZIP 86040
  • Phone: (928) 645-5113

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NPI Details

Matthew Aaron Lasslo is a counselor in Page, AZ with 10 years of experience. The provider is 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. Matthew Aaron Lasslo NPI is 1003426545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

463 S LAKE POWELL BLVD
PAGE, AZ
ZIP 86040-856
Phone: (928) 645-5113
Fax: (928) 645-3254

The NPI 1003426545 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/7/2020 and was last updated on 8/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorLAC-17209ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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