Active NPI
Tracy Christa Lacey, MFT
- Marriage & Family Therapist
- Pleasant Hill, CA
National Provider Identifier
1750423943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 46112
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 46112 | CA | MD | Marriage & 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.