Individual provider Active NPI

Steven L. Lackey, LPC-S

  • Professional Counselor
  • Orange, TX
National Provider Identifier
1851639454
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67594 Issued in TX
Practice address
6901 Medical Center Dr
Orange, TX 77630-1410
Phone
(409) 883-9940
Fax
(866) 883-6818
NPI assigned
Jan 17, 2013
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11455 TX
Professional Counselor 101YP2500X 67594 TX Primary

Addresses

Primary practice location

6901 Medical Center Dr
Orange, TX 77630-1410

Mailing address

6901 Medical Center Dr
Orange, TX 77630-1410
Phone (409) 883-9940

Other practice location 1

3070 College St Ste 406
Beaumont, TX 77701-4688
Phone (409) 434-4735

Other identifiers 2

IdentifierTypeStateIssuer
361920701MedicaidTX
043840001OtherTXTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226001720 TX Practitioner - Mental Health Counselor 3375821713 Practice locations: Orange, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6901 Medical Ctr Dr
Suite 230
Orange, TX 77630

6901 Medical Ctr Dr
Suite 230
Orange, TX 77630-1413
Phone (409) 883-9940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11455TXMDAddiction (Substance Use Disorder) Counselor
67594TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Counseling Center Addiction (Substance Use Disorder) PastSince Jan 7, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1851639454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 MEDICAL CENTER DR",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301410",
            "telephone_number": "409-883-9940",
            "fax_number": "866-883-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MEDICAL CENTER DR",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301410",
            "telephone_number": "409-883-9940",
            "fax_number": "866-883-6818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3070 College St Ste 406",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014688",
            "country_code": "US",
            "telephone_number": "409-434-4735",
            "fax_number": "866-833-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "STEVEN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-17",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11455",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361920701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "043840001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

Verify at the official NPI Registry.