Lacey Cope, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60884225 Issued in WA

Practice address

201 Lila LN
Burlington, WA 98233-3320

Phone

(360) 757-7738

Fax

(360) 757-7749

NPI assigned

Jan 30, 2017

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

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.

• Ideal Balance PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kennewick, WA
  • NPI 1013343474
  NPD (past)

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1437696309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LILA LN",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333320",
            "telephone_number": "360-757-7738",
            "fax_number": "360-757-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LILA LN",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333320",
            "telephone_number": "360-757-7738",
            "fax_number": "360-757-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPE",
        "first_name": "LACEY",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60562339",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60884225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Administrative Services, Inc. (Cas)
• Robin Coe, CDPT
• Anne Cohen, M.A., LMHC
• Ronald Glenn Colyer Jr., L.M.P.
• Casey William Cook, LMP
• Costco Wholesale Corporation (Costco Optical #662)
• Costco Wholesale Corporation (Costco Hearing Aid #662)
• Costco Wholesale Corporation
• Andrew Laurence Cree
• Creelman Family Practice PLLC

• Addiction (Substance Use Disorder) Counselor in Burlington, WA
• Providers in Burlington, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.