Active NPI
Lacy Row
- Professional Counselor
- Sherman, TX
National Provider Identifier
1306305404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 81550
- Practice address
- 804 Pecan Grove Rd E
Sherman, TX 75090-1767 - Phone
- (903) 893-7768
- NPI assigned
- Mar 18, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81550 | TX | Primary |
Addresses
Primary practice location
804 Pecan Grove Rd E
Sherman, TX 75090-1767
Mailing address
301 N FM 1417 Apt 1D
Sherman, TX 75092
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81550 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Guidance Center of Texoma | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Sherman, TX
- NPI 1659336345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1306305404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N FM 1417 APT 1D",
"city": "SHERMAN",
"state": "TX",
"postal_code": "75092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 PECAN GROVE RD E",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750901767",
"telephone_number": "903-893-7768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROW",
"first_name": "LACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.