Antonio D Lacey, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1324 Crestmark Blvd
Lithia Springs, GA 30122-4428

Phone

(770) 728-3468

Fax

(404) 591-6748

NPI assigned

Mar 25, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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

• Hugging Arms Inc

  • Professional Counselor
  • Lithia Springs, GA
  • NPI 1255673695
  NPD (past) Authorized official

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1093057382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 CRESTMARK BLVD",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301224428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 CRESTMARK BLVD",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301224428",
            "telephone_number": "770-728-3468",
            "fax_number": "404-591-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "ANTONIO",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Start Pediatrics, P.C.
• Lisa Kimble, D.D.S.
• Karimah King
• Rose J Kpadeh
• L&S Healthcare
• Lawrence Vision, Inc.
• Richard Lloyd Lawrence Jr., M.D.
• Kori Renee Lee
• Audrey Lewis, PT, DPT
• Ruth Lewis, LMT

• Professional Counselor in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.