KELLEY LACKEY (NPI# 1306499041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306499041 |
| Entity Type | Individual |
| Full Name | KELLEY LACKEY |
| Practice Address |
1000 Lincoln St Emporia KS 66801-2449 |
| Practice Telephone | 6203432211 |
| Practice Fax Number | 6203421021 |
| Mailing Telephone | 6203432211 |
| Mailing Fax Number | 6203421021 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3453 | KS | Behavioral Health & Social Service Providers |
| Street Address |
1000 LINCOLN ST |
| City | EMPORIA |
| State | KS |
| Zip Code | 66801-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205167 | Lily Garcilazo | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2020-11-04 |
| 1053919738 | Samantha Thibodeau | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2020-10-14 |
| 1568075695 | Kaitlyn Jo Connor | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2020-08-28 |
| 1427660844 | Stephany Graham | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2020-08-18 |
| 1215588124 | Shelley Marie Coughlin | Social Worker | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-09-23 |
| 1417502816 | Carmen Esch | Licensed Practical Nurse | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-08-03 |
| 1073175824 | Josie Danielle Williams | Counselor | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-07-02 |
| 1760042105 | Timothy Aspleaf | Counselor | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-06-18 |
| 1962963462 | Katey Elizabeth Staatz | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-03-27 |
| 1437614856 | Nicole Marie Disalvo | Counselor | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539141 | Tina Marie Andrade | Counselor | 1500 Graphic Arts Road, Emporia, KS 66801 | 2018-02-26 |
| 1669918637 | Paden Bradley Eveland | Physical Medicine & Rehabilitation | 1 Kellogg Circle Emporia State University, Emporia, KS 66801 | 2017-01-13 |
| 1932501467 | Emily Prouse | Dietitian, Registered | 1 Kellogg Circle 250 Se Morse Hall, Emporia, KS 66801 | 2014-09-16 |
| 1407278112 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 Merchant St, Emporia, KS 66801 | 2014-01-15 |
| 1508105800 | Smith Agency LLC | In Home Supportive Care | 4245 W. Hwy 50, Emporia, KS 66801 | 2013-02-06 |
| 1891060919 | Gould Coates Garcia | Internal Medicine | 2014 Canterbury Rd, Emporia, KS 66801 | 2012-03-22 |
| 1457511321 | Amanda Lee Ruxton | Family Medicine | 1301 W 12th Ave Ste 101, Emporia, KS 66801 | 2008-06-13 |
| 1821262049 | Qi Qiao Joina Wu | Counselor | 115 West 5th Street, Emporia, KS 66801 | 2008-04-18 |
| 1013189703 | Kelly Elizabeth Long | Counselor | 115 W 5th, Emporia, KS 66801 | 2008-04-02 |
| 1851586275 | Hyun Chan Shin | Counselor | 115 5th Ave, Emporia, KS 66801 | 2007-09-10 |
| Find all providers in zip 66801 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490626 | Gloria Denisha Brown | Counselor | 425 S Main St Ste C&d, Emporia, VA 23847-2300 | 2019-10-30 |
| 1417516345 | Ebony N Wright-bennett | Counselor | 506 Stuart St, Emporia, VA 23847-2728 | 2019-06-13 |
| 1952874356 | Ana Ivette Vallecillos | Counselor | 426 S Cottonwood St, Emporia, KS 66801-4848 | 2019-01-08 |
| 1689159436 | Katherine Augusta Turner | Counselor | 320 S Main St Fl 3, Emporia, VA 23847-2043 | 2018-09-27 |
| 1922553791 | Purdy Inc | Counselor | 902 Commercial St, Emporia, KS 66801-2917 | 2016-08-22 |
| 1750610465 | Phipps and Mcinnis Family Services,llc | Counselor | 139c Baker St, Emporia, VA 23847-1703 | 2009-12-09 |
| 1821262049 | Qi Qiao Joina Wu | Counselor | 115 West 5th Street, Emporia, KS 66801 | 2008-04-18 |
| 1851586275 | Hyun Chan Shin | Counselor | 115 5th Ave, Emporia, KS 66801 | 2007-09-10 |
| 1669579512 | Jon Michael Sward | Counselor | 1512 W 6th Ave, Suite A, Emporia, KS 66801-2400 | 2006-09-20 |
| 1093751273 | Marvin Eugene Skinner | Counselor | 158 Pleasant Shade Dr, Emporia, VA 23847-7837 | 2006-06-22 |
| Find all providers in EMPORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.