Individual provider Active NPI

Tracy Christa Lacey, MFT

  • Marriage & Family Therapist
  • Pleasant Hill, CA
National Provider Identifier
1750423943
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46112 Issued in CA
Practice address
140 Mayhew Way Ste 300
Pleasant Hill, CA 94523-4398
Phone
(707) 250-7945
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 46112 CA Primary

Addresses

Primary practice location

140 Mayhew Way Ste 300
Pleasant Hill, CA 94523-4398

Mailing address

140 Mayhew Way Ste 300
Pleasant Hill, CA 94523-4398
Phone (707) 250-7945

Other practice location 1

2101 Courage Dr
MS10-300
Fairfield, CA 94533-6717
Phone (707) 784-2061

Other practice location 2

1949 5th St Ste 103
Davis, CA 95616-4026
Phone (530) 574-9739

Other practice location 3

275 Beck Ave # MS 5-250
Fairfield, CA 94533-6804
Phone (707) 784-8213

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

State licenses

LicenseStateTypeSpecialty
46112CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1750423943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MAYHEW WAY STE 300",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234398",
            "telephone_number": "707-250-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAYHEW WAY STE 300",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234398",
            "telephone_number": "707-250-7945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Courage Dr",
            "address_2": "MS10-300",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945336717",
            "country_code": "US",
            "telephone_number": "707-784-2061",
            "fax_number": "707-427-2981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1949 5th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956164026",
            "country_code": "US",
            "telephone_number": "530-574-9739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Beck Ave # MS 5-250",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945336804",
            "country_code": "US",
            "telephone_number": "707-784-8213",
            "fax_number": "707-421-6619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACEY",
        "first_name": "TRACY",
        "middle_name": "CHRISTA",
        "name_prefix": "Miss",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.