Loralyn Faith Lacey, PH.D. LMHC,LCPC,NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60428833 Issued in WA

Practice address

414 W 3Rd St
Newport, WA 99156-9077

Phone

(509) 589-1678

Fax

(509) 447-5310

NPI assigned

Aug 16, 2006

Last updated

May 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Loralyn Faith Lacey Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1144333832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991560323",
            "telephone_number": "509-589-1678",
            "fax_number": "509-447-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W 3RD ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569077",
            "telephone_number": "509-589-1678",
            "fax_number": "509-447-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "LORALYN",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "PH.D. LMHC,LCPC,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60428833",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14571LPC",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095813402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2041969",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORALYN",
            "last_name": "LACEY",
            "middle_name": "FAITH",
            "prefix": "DR.",
            "credential": "PH.D. LMHC,LCPC,NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Johannah Johnson
• Geoffry S Jones, M.D.
• Clayton W Kersting, M.D.
• Katherine Marie Kersting, P.T.
• Angelika B Kraus, MD
• Mary L Laville
• Wayne Thomas Lemley, DDS
• Cydni Lewis
• Jeremy C Lewis, DO
• Nathanial Clifford Lilya, D.O.

• Mental Health Counselor in Newport, WA
• Providers in Newport, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.