Organization Active NPI

LG Psychological Services PLLC

  • Adult Mental Health Clinic/Center
  • Lacey, WA
National Provider Identifier
1124816558
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LG PSYCHOLOGICAL SERVICES PLLC
Practice address
677 Woodland Square Loop SE Ste B6
Lacey, WA 98503-1000
Phone
(360) 585-4050
Fax
(360) 282-1013
NPI assigned
Apr 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Authorized official

Name
Dr. Kristin Rochele Gayle, PHDNPI 1861710204
Title
Clinical Psychologist
Phone
(360) 701-7281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

677 Woodland Square Loop SE Ste B6
Lacey, WA 98503-1000

Mailing address

6642 Stone St SE
Lacey, WA 98513-4961
Phone (360) 701-7281

National Provider Directory

National Provider Directory

Locations

677 Woodland Square Loop SE
Ste B6
Lacey, WA 98503
Phone (360) 585-4050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745625600000",
    "number": "1124816558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6642 STONE ST SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985134961",
            "telephone_number": "360-701-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 WOODLAND SQUARE LOOP SE STE B6",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031000",
            "telephone_number": "360-585-4050",
            "fax_number": "360-282-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-26",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "ROCHELE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "360-701-7281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.