Individual provider Active NPI

Lacey Marie Campbell

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1063925089
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088
Phone
(702) 761-6468
Fax
(702) 761-6401
NPI assigned
Nov 13, 2017
Last updated
Nov 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088

Mailing address

7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088
Phone (702) 761-6468

Other identifiers 1

IdentifierTypeStateIssuer
40700786500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313003461 NV Practitioner - Mental Health Counselor 6507388055 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy With Lacey PLLC Mental Health Current Accepting new patients
Elements of Motivation LLC CurrentSince Mar 11, 2025 Accepting new patients
Behavioral Health Solutions LLC Mental Health CurrentSince Mar 7, 2025 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Mar 7, 2025 Accepting new patients
Claudia Barraza PastSince Mar 11, 2025 Accepting new patients
Bamboo Sunrise LLC Past Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

7040 Laredo St
Ste K
Las Vegas, NV 89117
Phone (702) 331-4874

720 S Jones Blvd
Las Vegas, NV 89107
Phone (702) 331-4874

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1063925089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 ARROYO CROSSING PKWY STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134088",
            "telephone_number": "702-761-6468",
            "fax_number": "702-761-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 ARROYO CROSSING PKWY STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134088",
            "telephone_number": "702-761-6468",
            "fax_number": "702-761-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LACEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40700786500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.