Active NPI
Lacey Dunlap Amos, LPC
- Professional Counselor
- Homewood, AL
National Provider Identifier
1356655831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3107
- Practice address
- 1628 29TH CT S
Suite 201
Homewood, AL 35209-2417 - Phone
- (205) 440-3686
- NPI assigned
- Jul 27, 2010
- Last updated
- Feb 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 3107 | AL | Primary |
Addresses
Primary practice location
1628 29TH CT S
Suite 201
Homewood, AL 35209-2417
Mailing address
1628 29TH CT S
Suite 201
Homewood, AL 35209-2417
Phone (205) 440-3686
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 |
|---|---|---|---|
| 3107 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1356655831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 29TH CT S",
"address_2": "SUITE 201",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352092417",
"telephone_number": "205-440-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 29TH CT S",
"address_2": "SUITE 201",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352092417",
"telephone_number": "205-440-3686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOS",
"first_name": "LACEY",
"middle_name": "DUNLAP",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "3107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homewood, AL
- Amedisys Alabama, LLC (Amedisys Home Health Lakeshore of Birmingham)
- Amedisys Hospice, LLC (Amedisys Hospice of Birmingham)
- American Family Care LLC
- American Health Imaging of Alabama LLC (American Health Imaging of Homewood)
- American Health Imaging of Alabama LLC (American Health Imaging Open Upright MRI)
- Jesse Anderson, RDN, LD
- John Talyor Anderson, M.D.
- Michael Edward Anderson, M.D.
- Anew Health Home Care Services LLC
- Angela Anthony
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.