Individual provider Active NPI

Lacy Caruthers, LPC-ASSOCIATE

  • Professional Counselor
  • Granbury, TX
National Provider Identifier
1255048898
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89660 Issued in TX
Practice address
1540 Southtown Dr Ste 106
Granbury, TX 76048-2667
Phone
(855) 579-5323
Fax
(855) 579-5323
NPI assigned
Nov 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 89660 TX
Professional Counselor 101YP2500X 89660 TX Primary

Addresses

Primary practice location

1540 Southtown Dr Ste 106
Granbury, TX 76048-2667

Mailing address

PO Box 121835
Arlington, TX 76012-7835
Phone (855) 579-5323

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.newleafservicesllc.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250203003475 TX Practitioner - Mental Health Counselor 6103356324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deer Oaks Geriatric Services P CGroup PAC ID 9234034075, 45 clinicians

Practice addresses (Care Compare)

7272 Wurzbach Rd
San Antonio, TX 78240-4803
Phone (210) 615-3483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89660TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Services, LLC Professional CurrentSince Jan 3, 2024 Accepting new patients
Deer Oaks Geriatric Services P C CurrentSince Jan 27, 2025 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients

Locations

1540 Southtown Dr
Ste 106
Granbury, TX 76048
Phone (855) 579-5323

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1255048898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121835",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760127835",
            "telephone_number": "855-579-5323",
            "fax_number": "855-579-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SOUTHTOWN DR STE 106",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482667",
            "telephone_number": "855-579-5323",
            "fax_number": "855-579-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUTHERS",
        "first_name": "LACY",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "89660",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.newleafservicesllc.com",
            "affiliation": "N",
            "address_1": "1540 Southtown Dr Ste 106",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760482667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.