Lacy Keith, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

156141 Issued in NM

Practice address

300 E 1St St
Portales, NM 88130-5914

Phone

(575) 359-1221

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/557d7750-391a-46cd-b368-48399c62b8b9/

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.

• Mental Health Resources, Inc.

  • Mental Health Counselor
  • Clovis, NM
  • NPI 1811049653
  NPD (past) Authorized official
• Mental Health Resources, Inc.

  • Mental Health Counselor
  • Portales, NM
  • NPI 1124530407
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1821116294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 S AVENUE C",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306819",
            "telephone_number": "575-309-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 1ST ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881305914",
            "telephone_number": "575-359-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "LACY",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0151121",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "156141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxie Joyner, MA, LPCC, NCC
• Lydia Kakuze
• Brianna Lynn Kauffmann, LAT, ATC
• Amna K Kazi
• Audrey Kearney
• Guadalupe M Kennedy, CFNP
• Kadie Ray Kiehne
• Matthew King
• Kylee Kinnamon
• Janie L Kiser

• Mental Health Counselor in Portales, NM
• Providers in Portales, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.