Active NPI
Elizabeth Lacy, MS, LMHC
- Mental Health Counselor
- Melbourne, FL
National Provider Identifier
1730502147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH14142
- Practice address
- 1819 Riverview Dr Ste 201C
Melbourne, FL 32901-4794 - Phone
- (321) 222-7333
- NPI assigned
- Jan 22, 2014
- Last updated
- Nov 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MH14142 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Counseling, LLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Melbourne, FL
- NPI 1255977922
-
- Mental Health Counselor
- Melbourne, FL
- NPI 1639448483
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.