Individual provider Active NPI

Lacey Evelyn Niemi, MA, LMHCA

  • Counselor
  • Arlington, WA
National Provider Identifier
1700422714
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MC61555987 Issued in WA
Practice address
307 N Olympic Ave Ste 203
Arlington, WA 98223-1351
Phone
(425) 931-8533
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC61555987 WA Primary

Addresses

Primary practice location

307 N Olympic Ave Ste 203
Arlington, WA 98223-1351

Mailing address

260 Shumway Rd
Camano Island, WA 98282-8763
Phone (360) 420-1178

Other practice location 1

1902 120th Pl SE Ste 101
Everett, WA 98208-8400
Phone (669) 250-6040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 3, 2026 through Mar 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC61555987WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1700422714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SHUMWAY RD",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982828763",
            "telephone_number": "360-420-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N OLYMPIC AVE STE 203",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231351",
            "telephone_number": "425-931-8533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 120th Pl SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982088400",
            "country_code": "US",
            "telephone_number": "669-250-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEMI",
        "first_name": "LACEY",
        "middle_name": "EVELYN",
        "credential": "MA, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC61555987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

Verify at the official NPI Registry.