Madisyn Lacey, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.183269 Issued in OH

Practice address

996 N Monroe CT
Xenia, OH 45385-1860

Phone

(517) 242-4107

NPI assigned

Jan 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Her Story, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Springfield, OH
  • NPI 1164194478

  Addiction (Substance Use Disorder)

  NPD
• Her Story, Inc

  • Community/Behavioral Health Agency
  • Springfield, OH
  • NPI 1841901337
  NPD

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1245945104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453850212",
            "telephone_number": "937-708-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 N MONROE CT",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851860",
            "telephone_number": "517-242-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "MADISYN",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "CDCA.183269",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.183269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@herstoryhouse.com",
            "affiliation": "N",
            "address_1": "996 N Monroe Ct",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453851860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kroger Limited Partnership I
• Calen Kuck
• Hailee Kunkler
• Autumn La Riche, ED.S., NCSP
• Blair Alan Labig, D.C.
• Phyllis J Lackey, LIC PROF COUNSELOR
• Melanie M Lamar, LAT, ATC
• Carrie Lamont
• Norma H Landis, CRNA
• Gale Lapointe

• All providers in Xenia, OH
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.