Individual provider Active NPI

Elizabeth Lacy, MS, LMHC

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1730502147
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14142 Issued in FL
Practice address
1819 Riverview Dr Ste 201C
Melbourne, FL 32901-4794
Phone
(321) 222-7333
NPI assigned
Jan 22, 2014
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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 MH14142 FL Primary

Addresses

Primary practice location

1819 Riverview Dr Ste 201C
Melbourne, FL 32901-4794

Mailing address

1819 Riverview Dr Ste 201C
Melbourne, FL 32901-4794
Phone (321) 222-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MH14142FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Counseling, LLC Mental Health CurrentSince Oct 1, 2020 Accepting new patients
Pathways Counseling Center, LLC Mental Health Past Accepting new patients

Locations

1819 Riverview Dr
Ste 201C
Melbourne, FL 32901
Phone (321) 222-7333

476 Highway A1A
Ste 8A
Satellite Beach, FL 32937

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1730502147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 RIVERVIEW DR STE 201C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014794",
            "telephone_number": "321-222-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 RIVERVIEW DR STE 201C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014794",
            "telephone_number": "321-222-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "ELIZABETH",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.