LACI LYNN ANDERSON (NPI# 1477119634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477119634 |
| Entity Type | Individual |
| Full Name | LACI LYNN ANDERSON |
| Practice Address |
81 Lake Ave Rochester NY 14608-1410 |
| Practice Telephone | 5853686900 |
| Practice Fax Number | 5855465806 |
| Mailing Telephone | 5853686900 |
| Mailing Fax Number | 5855465806 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
81 LAKE AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14608-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760595854 | Ram Wesley Rapoport | Psychiatry & Neurology | 81 Lake Ave, Rochester, NY 14608-1410 | 2006-08-16 |
| 1144841784 | Rebekah Balch | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-05-06 |
| 1104447796 | Anni Mcentire Gruttadaro | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-05-05 |
| 1912532136 | Maksim Tsaryk | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-03-09 |
| 1306471784 | Michelle Janine Squicciarini-beterbiyev | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-03-06 |
| 1669007985 | Tryceena Marie Gordon | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-03-06 |
| 1750911095 | Amanda Leigh Tuttle | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-24 |
| 1225678402 | Salvatore Mongiovi | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-15 |
| 1346880978 | Abigail L Wood | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-11 |
| 1346889763 | Emily Lehman | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138184 | Starzom, LLC | Transportation Broker | 803 South Plymouth Avenue, Rochester, NY 14608 | 2019-01-16 |
| 1750864500 | Nikki Haynesworth | Counselor | 394 Frederick Douglass St., Rochester, NY 14608 | 2018-09-07 |
| 1639614498 | Atiya Abdus-samad | Technician | 104 Cady Street, Rochester, NY 14608 | 2017-01-03 |
| 1467806703 | Beverley Adams | Licensed Practical Nurse | 200 Frost Avenue, Rochester, NY 14608 | 2016-04-22 |
| 1497114037 | Amanda Martinez | Licensed Practical Nurse | 125 Minnesota St, Rochester, NY 14608 | 2016-02-10 |
| 1366771750 | Tracy Lynn Clark | Licensed Practical Nurse | 2 Backus St, Rochester, NY 14608 | 2009-12-14 |
| 1033397252 | Tracy Stevens | Registered Nurse | 280 Seward Street, Rochester, NY 14608 | 2008-02-11 |
| 1578653929 | Amy L Archer | Social Worker | 81 Lake Avenue, Evelyn Brandon Health Center, Rochester, NY 14608 | 2006-10-14 |
| 1902906233 | Kevin M Mcintyre | Psychiatry & Neurology | 81 Lake Ave., Rochester, NY 14608 | 2006-09-25 |
| 1427088913 | Steven M Ess | Chiropractor | 309 Exchange Blvd, Rochester, NY 14608 | 2006-07-03 |
| Find all providers in zip 14608 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212922 | Kathryn R Meckle | Counselor | 19350 Grand Mound Way Sw, Rochester, WA 98579-9218 | 2020-10-13 |
| 1851928626 | Daniel Shepherd Dmin, LLC | Counselor | 210 W University Dr Ste 7, Rochester, MI 48307-1975 | 2020-03-23 |
| 1477016749 | Matthew Cooney Dougherty | Counselor | 1099 Jay St Ste 200, Rochester, NY 14611-1153 | 2019-04-12 |
| 1538679063 | Lorrie Ann Johnson | Counselor | 95 Allens Creek Rd Ste 2, Rochester, NY 14618-3252 | 2017-10-11 |
| 1275058380 | Daniel Farm | Counselor | 2434 Superior Dr Nw Ste 103, Rochester, MN 55901-2591 | 2017-08-09 |
| 1821453663 | Jonathan Hart | Counselor | 411 Woodward Ave, Rochester, MI 48307-1173 | 2015-12-21 |
| 1225413883 | Alexandra Rahaim | Counselor | 1908 Flagstone Cir, Rochester, MI 48307-6096 | 2015-07-24 |
| 1689067316 | Patricia R Geist | Counselor | 110 Blacksmith Rd, Rochester, WA 98579-8902 | 2015-03-05 |
| 1831511211 | Dan Austin | Counselor | 5041 Aintree Ct, Rochester, MI 48306-2702 | 2014-01-20 |
| 1336577758 | Ira Leighann Scheckel | Counselor | 2519 Commerce Dr Nw Ste 210, Rochester, MN 55901-4434 | 2013-10-22 |
| Find all providers in ROCHESTER | ||||
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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.