Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Bastos, MS, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013791441

Kyle Bastos, MS, LPC is a Mental Health Counselor in Houston, Texas. Qualified in 2018, 8 years ago. Practices with Deep Eddy Psychotherapy Management, LLC, a 77-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2023
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4119 Montrose Blvd Ste 500
Houston, TX 77006-4970
Phone: (512) 956-6463
Fax: (866) 653-5142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 86959 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 61886 (TX)

Record details

NPI number1013791441
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LPC
Sole proprietorYes
NPI enumeratedAugust 24, 2023
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address124 Emerald Cloud Ln, League City, TX 77573-0764

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Deep Eddy Psychotherapy Management, Llc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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