LACEY JOHNSON (NPI# 1538520994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538520994 |
| Entity Type | Individual |
| Full Name | LACEY JOHNSON |
| Practice Address |
257 Glimer Miller Road Lowgap NC 27024 |
| Practice Telephone | 3368580350 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710418082 | Lacey Johnson | Counselor | 3655 Armington Rd, Palmyra, NY 14522-9607 | 2017-03-27 |
| 1730531559 | Lacey Johnson Jr. | Case Manager/Care Coordinator | 1335 N Cheyenne Ave, Tulsa, OK 74106-4623 | 2016-07-05 |
| 1649763236 | Lacey Brooke Johnson | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2018-06-08 |
| 1952813230 | Lacey Johnson | Counselor | 1715 26th St, Lubbock, TX 79411-1524 | 2017-10-26 |
| 1861832404 | Lacey A Johnson | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345-1124 | 2013-06-27 |
| 1265757173 | Lacey Tilsen Johnson | Counselor | 368 Fell St, San Francisco, CA 94102-5144 | 2010-04-02 |
| 1366587180 | Lacey Anne Johnson | Marriage & Family Therapist | Ucsb, Building 588, Santa Barbara, CA 93106-7002 | 2007-02-20 |
| 1770684995 | Lacey Brooke Johnson | Occupational Therapist | 1501 E Greenville St, Anderson, SC 29621-2004 | 2006-09-26 |
| Street Address |
257 GLIMER MILLER ROAD |
| City | LOWGAP |
| State | NC |
| Zip Code | 27024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063671436 | Carolina Generators, LLC | Emergency Response System Companies | 9699 W Pine St, Lowgap, NC 27024-7130 | 2008-06-02 |
| 1588007132 | Mary Richardson | Physical Therapy Assistant | 211 Wood Ridge Ln, Lowgap, NC 27024-8909 | 2013-04-14 |
| 1043389182 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 671 Ramey Orchard Rd, Lowgap, NC 27024-9210 | 2006-11-06 |
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645763 | Brittany Teach-lizzmore | Developmental Therapist | 800 Carolina Ave, Kinston, NC 28504-3551 | 2020-10-08 |
| 1770193153 | Kattiesha Plum | Developmental Therapist | 4160 Piedmont Pkwy, Greensboro, NC 27410-8174 | 2020-07-31 |
| 1255940581 | Toria Davenport | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-07-22 |
| 1760014302 | Janet Monica De La Cruz | Developmental Therapist | 231 Sanders Rd, Benson, NC 27504-9185 | 2020-02-11 |
| 1881233682 | Michelle Ford | Developmental Therapist | 308 Romeo Ct, Henderson, NC 27537-4809 | 2019-12-27 |
| 1225670052 | Raquel Barden | Developmental Therapist | 711 Dude Ct, Fayetteville, NC 28303-3136 | 2019-10-14 |
| 1427617745 | Jackie Payne-mcgee | Developmental Therapist | 529 Black Maple Dr, Kannapolis, NC 28081-5880 | 2019-06-10 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1720643349 | Satonya D Smyre | Developmental Therapist | 119 N Tradd St, Statesville, NC 28677-5269 | 2019-05-08 |
| 1881155372 | Shatoya Williamson | Developmental Therapist | 3330 Harbour Pointe Pl Unit 7, Fayetteville, NC 28314-1764 | 2019-03-27 |
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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.