Lacie Martinez, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

279749 Issued in KY

Practice address

758 Buckeye CT
Bowling Green, KY 42104-5564

Phone

(270) 799-1415

Fax

(270) 715-4560

NPI assigned

Aug 23, 2022

Last updated

Dec 6, 2024By 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 2

Addresses

Other names 1

• Mrs. Lacie Martinez Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nurture and Light Counseling, LLC

  • Mental Health Counselor
  • Bowling Green, KY
  • NPI 1568274835
  NPD Authorized official
• Premier Counseling, LLC

  • Mental Health Counselor
  • Bowling Green, KY
  • NPI 1811807449
  Authorized official Same address or phone
• KW Consulting, LLC

  dba Fuller Life Counseling

  • Mental Health Counselor
  • Bowling Green, KY
  • NPI 1679127781
  NPD (past)

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1386363539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 BUCKEYE CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045564",
            "telephone_number": "270-799-1415",
            "fax_number": "270-715-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 BUCKEYE CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045564",
            "telephone_number": "270-799-1415",
            "fax_number": "270-715-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LACIE",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "279749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lacie.martinez440@topper.wku.edu",
            "affiliation": "N",
            "endpointDescription": "Prmiercounseling email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "758 Buckeye Ct",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421045564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LACIE",
            "last_name": "MARTINEZ",
            "prefix": "MRS.",
            "credential": "LPCC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lydia B Martin, MS, RBT
• Mollie Martin, LPCA
• Morgan Strader Martin
• Terri Martin
• Thomas Sheldon Martin
• Mary Ritter, Di
• Derrick A Mason, LMFT
• Joe Todd Mason, MSPT
• Scott P Mason
• Latango Ann Massey

• Mental Health Counselor in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.