Lacey Albin
Individual provider Active NPI Mental Health Counselor · South Pasadena, CA
NPI 1669733853 · NPPES record last updated Jun 4, 2012
Key facts
- NPI
- 1669733853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 205 Pasadena Ave
South Pasadena, CA 91030-2919 - Phone
- (323) 344-5536
- NPI assigned
- Jun 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for the Redesign of Learning | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
205 Pasadena Ave
South Pasadena, CA 91030-2919
Mailing address
205 Pasadena Ave
South Pasadena, CA 91030-2919
Phone (323) 344-5536
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7368 | Other | CA | MEDI-CAL |
| 7708 | Other | CA | MEDI-CAL |
| 7667 | Other | CA | MEDI-CAL |
| 7184 | Other | CA | MEDI-CAL |
Other providers in South Pasadena, CA
- Jamille Ala
- Alana Alabbasi
- Cristin Alatorre
- Inna Alaverdyan
- Rima Alaverdyan
- Sandy Alcantar
- Nareh Allahyari
- Vanessa Paula Allen
- Almansor Centerclinical Services
- Lisa Marie Pileggi Almonte
All providers in South Pasadena, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.