Cathy Renae Lacy, PH.,D.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

06595 Issued in OK

Practice address

2007 W 11TH Ave
Stillwater, OK 74074-5115

Phone

(405) 999-3009

NPI assigned

Dec 21, 2011

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 names 1

• Cathy Renae Shuffield Former name

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": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1225307168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 W 11TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745115",
            "telephone_number": "405-999-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 W 11TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745115",
            "telephone_number": "405-999-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "CATHY",
        "middle_name": "RENAE",
        "credential": "PH.,D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "06595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHY",
            "last_name": "SHUFFIELD",
            "middle_name": "RENAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward David Kuekes, MD
• Lanita Jo Kusik, SPEECH PATHOLOGIST
• Erin Kyle, R.D.
• Sheriden Labrecque
• Laci Campbell, Inc.
• Cassidy Nicole Ladd
• Josephine Lafferty, OD
• Mackenzie Landis
• Sherri Lando, LD
• Cecilia Ann Lane, ATC, LAT

• Counselor in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.