Active NPI
Lacie York
- Mental Health Counselor
- Santa Ana, CA
National Provider Identifier
1265626907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 63273
- Practice address
- 1200 N Main St
Suite 200
Santa Ana, CA 92701-3640 - Phone
- (714) 480-6767
- NPI assigned
- Sep 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 22152 | CA | |
| Mental Health Counselor | 101YM0800X | 63273 | CA | Primary |
Addresses
Primary practice location
1200 N Main St
Suite 200
Santa Ana, CA 92701-3640
Mailing address
1200 N Main St
Suite 200
Santa Ana, CA 92701-3640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7576A | Other | CA | OUTPATIENT MENTAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63273 | CA | MD | Mental Health Counselor |
| 22152 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1265626907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N MAIN ST",
"address_2": "SUITE 200",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927013640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N MAIN ST",
"address_2": "SUITE 200",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927013640",
"telephone_number": "714-480-6767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "LACIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "22152",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "63273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUTPATIENT MENTAL HEALTH",
"identifier": "7576A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.