Scott Lacy, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-23305 Issued in AZ

Practice address

77 Calle Portal Ste C240
Sierra Vista, AZ 85635-2986

Phone

(520) 515-8669

Fax

(520) 515-8688

NPI assigned

Oct 3, 2017

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiricahua Community Health Centers, Inc

  dba Business Office

  • Federally Qualified Health Center (FQHC)
  • Douglas, AZ
  • NPI 1942241443
  Medicare reassignment NPD
• Chiricahua Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Sierra Vista, AZ
  • NPI 1417331711
  NPD
• Chiricahua Community Health Centers, Inc.

  dba Willcox Clinic

  • Federally Qualified Health Center (FQHC)
  • Willcox, AZ
  • NPI 1285488866
  NPD

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1740790856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N F AVE",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856071920",
            "telephone_number": "520-364-1429",
            "fax_number": "520-515-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL STE C240",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352986",
            "telephone_number": "520-515-8669",
            "fax_number": "520-515-8688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 W Main St",
            "address_purpose": "LOCATION",
            "city": "Heber Springs",
            "state": "AR",
            "postal_code": "72543",
            "country_code": "US",
            "telephone_number": "501-365-3022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203B Westport Dr",
            "address_purpose": "LOCATION",
            "city": "Cabot",
            "state": "AR",
            "postal_code": "720233657",
            "country_code": "US",
            "telephone_number": "501-843-9233",
            "fax_number": "501-843-9656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1712 Lindauer Rd",
            "address_purpose": "LOCATION",
            "city": "Forrest City",
            "state": "AR",
            "postal_code": "72335",
            "country_code": "US",
            "telephone_number": "870-633-0511",
            "fax_number": "870-633-0564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1712 Lindauer Rd",
            "address_purpose": "LOCATION",
            "city": "Forrest City",
            "state": "AR",
            "postal_code": "72335",
            "country_code": "US",
            "telephone_number": "870-633-0511",
            "fax_number": "870-633-0564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACY",
        "first_name": "SCOTT",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1807098",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "A1807098",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23305",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladislav Kuchar, DPM, MS
• Melanie Ann Kuehn, L.AC.
• Andrew Thomas Kunstman, DDS
• Michael Sherman Kutch
• Kynetic Health, PLLC
• Jobeth Ladd
• Damilola Lajubutu, O.D.
• Lori Lam
• Rebecca Lamas, FNP
• Gretchen Diane Lamberth, OTR

• Professional Counselor in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.