Individual provider Active NPI

Lacey Stewart, LPCC

  • Mental Health Counselor
  • Manhattan, KS
National Provider Identifier
1780107730
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0187211 Issued in NM
Practice address
330 Poyntz Ave Ste 272
Manhattan, KS 66502-8039
Phone
(505) 379-1270
Fax
(888) 972-1885
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2790 KS
Mental Health Counselor 101YM0800X 0187211 NM Primary

Addresses

Primary practice location

330 Poyntz Ave Ste 272
Manhattan, KS 66502-8039

Mailing address

PO Box 1126
Manhattan, KS 66505-1126
Phone (505) 440-7169

Other identifiers 2

IdentifierTypeStateIssuer
201329460AMedicaidKS
47225335MedicaidNM

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
0187211NMMDMental Health Counselor
2790KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Ideas Counseling, LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

330 Poyntz Ave
Ste 270
Manhattan, KS 66502
Phone (785) 251-3388

330 Poyntz Ave
Ste 272
Manhattan, KS 66502
Phone (505) 379-1270

200 Rosemont Ave NE
Apt C
Albuquerque, NM 87102
Phone (505) 750-3605

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1780107730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1126",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665051126",
            "telephone_number": "505-440-7169",
            "fax_number": "888-972-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 POYNTZ AVE STE 272",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665028039",
            "telephone_number": "505-379-1270",
            "fax_number": "888-972-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LACEY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2022-10-17",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "2790",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0187211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201329460A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47225335",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.