Active NPI
Lacey Denise McComas, LPC
- Professional Counselor
- Keller, TX
National Provider Identifier
1992228720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 65487
- Practice address
- 5751 Park Vista Circle, Suite 101
Keller, TX 76244-7624 - Phone
- (817) 812-2880
- NPI assigned
- Jul 24, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 65487 | TX | Primary |
Addresses
Primary practice location
5751 Park Vista Circle, Suite 101
Keller, TX 76244-7624
Mailing address
12100 Shadybrook Dr
Fort Worth, TX 76244-7787
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 |
|---|---|---|---|
| 65487 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500854400000",
"number": "1992228720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12100 SHADYBROOK DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762447787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5751 PARK VISTA CIRCLE, SUITE 101",
"city": "KELLER",
"state": "TX",
"postal_code": "762447624",
"telephone_number": "817-812-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOMAS",
"first_name": "LACEY",
"middle_name": "DENISE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2017-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "65487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.