Organization Active NPI

Mary Lucas Lacey

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1316344542
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC3459 Issued in NC
Legal business name
MARY LUCAS LACEY
Practice address
3420 Plantation Rd
Charlotte, NC 28270-0729
Phone
(704) 421-5505
NPI assigned
Dec 3, 2014
Last updated
Dec 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Dr. Mary Lucas Lacey, M.S., DBHNPI 1881822393
Title
Counselor
Phone
(704) 421-5505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC3459 NC Primary

Addresses

Primary practice location

3420 Plantation Rd
Charlotte, NC 28270-0729

Mailing address

3420 Plantation Rd
Charlotte, NC 28270-0729
Phone (704) 421-5505

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1316344542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 PLANTATION RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282700729",
            "telephone_number": "704-421-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 PLANTATION RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282700729",
            "telephone_number": "704-421-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LUCAS LACEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "LACEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LUCAS",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "704-421-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.S., DBH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "LPC3459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.