Active NPI
Lacey Eaton, LPC
- Mental Health Counselor
- Mansfield, TX
National Provider Identifier
1861046385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 69531
- Practice address
- 805 Killian Dr
Mansfield, TX 76063 - Phone
- (817) 271-7508
- NPI assigned
- Aug 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 69531 | TX | |
| Mental Health Counselor | 101YM0800X | 69531 | TX | Primary |
Addresses
Primary practice location
805 Killian Dr
Mansfield, TX 76063
Mailing address
PO Box 1469
Kennedale, TX 76060-1469
Other names 1
- Ms. Lacey Freeman
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 |
|---|---|---|---|
| 69531 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woven Wellness, LLC | Mental Health | Current | Accepting new patients |
| Hoverh | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1861046385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1469",
"city": "KENNEDALE",
"state": "TX",
"postal_code": "760601469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 KILLIAN DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "76063",
"telephone_number": "817-271-7508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "LACEY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-01",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69531",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "69531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LACEY",
"last_name": "FREEMAN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.