Lacey M Richard I, LPC-MH, CAC QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

20171 Issued in SD

Practice address

403 W Broad Ave
Flandreau, SD 57028-1630

Phone

(605) 997-3844

Fax

(605) 997-9940

NPI assigned

Oct 28, 2015

Last updated

Sep 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Flandreau Santee Sioux TribeGroup PAC ID 0840376380, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Flandreau Santee Sioux Tribe

  • Adult Day Care Clinic/Center
  • Flandreau, SD
  • NPI 1437188729

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1386016475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W BROAD AVE",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281630",
            "telephone_number": "605-573-4162",
            "fax_number": "605-997-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W BROAD AVE",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281630",
            "telephone_number": "605-997-3844",
            "fax_number": "605-997-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "LACEY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "LPC-MH, CAC QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "20171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC-MH",
            "identifier": "20171",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffery Lee Peterson, M.D.
• Mariah Peterson, CNP
• Scott Peterson, MD
• James Edson Powell, M.D.
• Prairie Phoenix PLLC
• Riverview Assisted Care L.L.P.
• Riverview Health Services, Inc
• Riverview SNF Operations, LLC (Riverview Healthcare Center)
• Bailey Ross
• Jenny Ruckdaschel, CNP

• Mental Health Counselor in Flandreau, SD
• Providers in Flandreau, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.