William Lacy Jr.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

208000719 Issued in IL

Practice address

187 S Schuyler Ave Ste 555
Kankakee, IL 60901-3825

Phone

(815) 304-4726

Fax

(815) 304-4749

NPI assigned

Aug 24, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1164079026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 S SCHUYLER AVE STE 555",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013825",
            "telephone_number": "815-304-4726",
            "fax_number": "815-304-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 S SCHUYLER AVE STE 555",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013825",
            "telephone_number": "815-304-4726",
            "fax_number": "815-304-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "WILLIAM",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208000719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://william-lacy.clientsecure.me",
            "affiliation": "N",
            "address_1": "187 S Schuyler Ave Ste 555",
            "city": "Kankakee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609013825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Kuang
• Ronald Kurzejka, M.D.
• John Lacheta, DO
• Michelle Lacost
• Bruce Alan Lacoste, D.D.S.
• Jamie Lynn Lambert
• Joanna L. Lambert, FNP-BC
• Sara Lambert, SLP
• Peter Douglas Lamotte, LCSW
• Brenda L. Lamping, FNP-BC

• Marriage & Family Therapist in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.