Individual provider Active NPI

Lacy J Dye, LIMHP

  • Mental Health Counselor
  • Gothenburg, NE
National Provider Identifier
1114599610
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4012 Issued in NE
Practice address
910 20TH St
Gothenburg, NE 69138-1253
Phone
(308) 537-3661
Fax
(308) 537-3074
NPI assigned
Jul 14, 2021
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 4012 NE Primary

Addresses

Primary practice location

910 20TH St
Gothenburg, NE 69138-1253

Mailing address

PO Box 469
Gothenburg, NE 69138-0469
Phone (308) 537-3661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20250409000207 NE Practitioner - Mental Health Counselor 5597289736 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gothenburg Memorial Hospital CurrentSince Apr 21, 2025 Accepting new patients
Gothenburg Memorial Hospital CurrentSince Apr 21, 2025 Accepting new patients
Family Resources of Greater Nebraska PC Mental Health PastSince Jul 1, 2021 Accepting new patients
Alivation Health, LLC PastSince Jul 1, 2021 Accepting new patients

Locations

910 20th St
Gothenburg, NE 69138
Phone (308) 537-3661

Organizations & group practices 4

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1114599610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691380469",
            "telephone_number": "308-537-3661",
            "fax_number": "308-537-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 20TH ST",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691381253",
            "telephone_number": "308-537-3661",
            "fax_number": "308-537-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "LACY",
        "middle_name": "J",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gothenburg, NE

Sources for this page

Verify at the official NPI Registry.