Individual provider Active NPI

Barbara A Lackey, M13368; EP1351

  • Mental Health Counselor
  • Dana Point, CA
National Provider Identifier
1396831905
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
M13368 AND EP1351 Issued in CA
Practice address
33681 Halyard Dr
Dana Point, CA 92629-4422
Phone
(949) 240-9990
Fax
(949) 240-9995
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X M13368 AND EP1351 CA Primary

Addresses

Primary practice location

33681 Halyard Dr
Dana Point, CA 92629-4422

Mailing address

33681 Halyard Drive
Dana Point, CA 92629-4422
Phone (949) 240-9990

Other identifiers 1

IdentifierTypeStateIssuer
1352763OtherCAELECTRONIC HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20260323003169 CA Practitioner - Marriage and Family Therapist 1759865249 Practice locations: Dana Point, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33681 Halyard Dr
Dana Point, CA 92629-4422
Phone (714) 838-4174

3838 N Sam Houston Pkwy E
Suite 290
Houston, TX 77032-3412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M13368 AND EP1351CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1396831905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33681 HALYARD DRIVE",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294422",
            "telephone_number": "949-240-9990",
            "fax_number": "949-240-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33681 HALYARD DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294422",
            "telephone_number": "949-240-9990",
            "fax_number": "949-240-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "BARBARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M13368; EP1351",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "M13368 AND EP1351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELECTRONIC HEALTH CARE",
            "identifier": "1352763",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

Verify at the official NPI Registry.