Individual provider Active NPI

Lacy McKay Adamson West, APC ATR

  • Counselor
  • Conyers, GA
National Provider Identifier
1891562930
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
008510 Issued in GA
Practice address
2375 Wall St SE Ste 240
Conyers, GA 30013-2296
Phone
(470) 829-6301
NPI assigned
Dec 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 23-509 GA
Counselor 101Y00000X 008510 GA Primary

Addresses

Primary practice location

2375 Wall St SE Ste 240
Conyers, GA 30013-2296

Mailing address

757 Sugar Hill LN SE
Conyers, GA 30094-3743
Phone (404) 313-9807

Other practice location 1

757 Sugar Hill Ln SE
Conyers, GA 30094-3743
Phone (864) 774-0418

Other names 1

  • Lacy McKay Adamson Former name

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
008510GAMDCounselor
23-509GAMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1891562930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 SUGAR HILL LN SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943743",
            "telephone_number": "404-313-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 WALL ST SE STE 240",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132296",
            "telephone_number": "470-829-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Sugar Hill Ln SE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300943743",
            "country_code": "US",
            "telephone_number": "864-774-0418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "LACY MCKAY",
        "middle_name": "ADAMSON",
        "credential": "APC ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "GA",
            "license": "23-509",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "008510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACY",
            "last_name": "ADAMSON",
            "middle_name": "MCKAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.