Amber Lynn Lacey, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA164344 Issued in OH

Practice address

15898 Saint Clair Ave Ste 1
East Liverpool, OH 43920-9122

Phone

(330) 932-0157

Fax

(330) 932-0869

NPI assigned

May 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1265923304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13129 BETHESDA RD",
            "city": "HANOVERTON",
            "state": "OH",
            "postal_code": "444239753",
            "telephone_number": "330-341-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15898 SAINT CLAIR AVE STE 1",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209122",
            "telephone_number": "330-932-0157",
            "fax_number": "330-932-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA164344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Krise, PSY.D
• Tim Krizan, PTA
• Daniel Edward Kubala, DPM
• David A Kutlick, DPM
• Daniel Kutt, LPC
• Kenneth Edward Lahr, M.S.,C.C.C.L.S.P.
• Sarah Laite, LISW
• Rebecca Ruth Lang
• Kristina Langley, FNP-C
• Ashely Morgan Lanouette, QMHS

• Addiction (Substance Use Disorder) Counselor in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.