Lacie Killion, MA, LMFT, LAC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0001840 Issued in CO

Practice address

7175 W Jefferson Ave Ste 1200
Lakewood, CO 80235-2380

Phone

(720) 757-1988

NPI assigned

May 23, 2016

Last updated

Oct 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lacie Grunska Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Experiential Family Therapy and Training Center, LLC

  • Mental Health Counselor
  • Lakewood, CO
  • NPI 1891394177
  NPD Authorized official

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1356798078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2974 W CHENANGO AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801106308",
            "telephone_number": "720-934-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 W JEFFERSON AVE STE 1200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352380",
            "telephone_number": "720-757-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 S Harlan St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802262261",
            "country_code": "US",
            "telephone_number": "720-272-1289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Wadsworth Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802144542",
            "country_code": "US",
            "telephone_number": "720-433-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLION",
        "first_name": "LACIE",
        "credential": "MA, LMFT, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001175",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACIE",
            "last_name": "GRUNSKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Marriage & Family Therapist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.