Kelley J. Lackey II, MS-LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3453 Issued in KS

Practice address

1307 Rural St
Emporia, KS 66801-5541

Phone

(620) 481-9403

NPI assigned

Jul 22, 2019

Last updated

Dec 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1306499041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668010145",
            "telephone_number": "620-208-6880",
            "fax_number": "620-342-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 RURAL ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015541",
            "telephone_number": "620-481-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "KELLEY",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MS-LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "LPC3453",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Korsak, AU.D.
• William Brock Kretsinger, DO
• Thomas A Kriss, DDS
• Kathryn Kuhlmann, PHARMD
• Jennie Leann Kutschka, O.D.
• Dyllan Landry, MD
• Katherine Jo Landwehr, LMFT-T
• Alexandria Lara
• Larry W Finley Crna LLC
• Alexis Lasley

• Professional Counselor in Emporia, KS
• Providers in Emporia, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.