Lacey Nicole Tolliver, CPSS, CSA

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

80 Highway 2227
Somerset, KY 42503-1562

Phone

(606) 485-4003

NPI assigned

Feb 6, 2025

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

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 and National Provider Directory roles.

• Protea Behavioral Health Counseling, PLLC

  • Professional Counselor
  • Somerset, KY
  • NPI 1205429800
  NPD

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1669286910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 PARKERS MILL WAY",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034152",
            "telephone_number": "606-458-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HIGHWAY 2227",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031562",
            "telephone_number": "606-485-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLIVER",
        "first_name": "LACEY",
        "middle_name": "NICOLE",
        "credential": "CPSS, CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Tillery, LCSW
• Alianne S Tilley-Hicks, APRN
• Lisa Ann Todd, NP-C
• Taylor Brown Tohill, D.M.D.
• Thomas A. Tohill, DMD
• Andrea Tomlinson, SLP
• Eric M Toohey, CRNA
• Samantha Torres, LPCC
• Total Rehab Center, PSC
• Total Rehab Center, PSC

• Peer Specialist in Somerset, KY
• Providers in Somerset, KY by specialty
• Peer Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.