Ingrid J Lacey, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

008680 Issued in GA

Legal business name

INGRID J LACEY, LLC

Practice address

1799 Clairmont Rd
Decatur, GA 30033-4005

Phone

(404) 490-0664

NPI assigned

May 31, 2018

Last updated

May 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ingrid Jennifer Lacey, LPC, BC-DMT, GLCMANPI 1881033843

Title

Licensed Professional Counselor

Phone

(415) 913-8831

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ingrid Jennifer Lacey, LPC, BC-DMT, GLCMA

  • Counselor
  • Decatur, GA
  • NPI 1881033843
  NPD (past) Authorized official

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1831681428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 CAVANAUGH AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162706",
            "telephone_number": "415-913-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334005",
            "telephone_number": "404-490-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID J LACEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "LACEY",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "415-913-8831",
        "authorized_official_credential": "LPC, BC-DMT, GLCMA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "008680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.