LACEY JOHNSON (NPI# 1710418082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710418082 |
| Entity Type | Individual |
| Full Name | LACEY JOHNSON |
| Practice Address |
3655 Armington Rd Palmyra NY 14522-9607 |
| Practice Telephone | 3153312300 |
| Mailing Telephone | 3153312300 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730531559 | Lacey Johnson Jr. | Case Manager/Care Coordinator | 1335 N Cheyenne Ave, Tulsa, OK 74106-4623 | 2016-07-05 |
| 1538520994 | Lacey Johnson | Developmental Therapist | 257 Glimer Miller Road, Lowgap, NC 27024 | 2016-03-14 |
| 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 |
3655 ARMINGTON RD |
| City | PALMYRA |
| State | NY |
| Zip Code | 14522-9607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689909863 | Betsy Wray Hernandez | Registered Nurse | 3046 Sherwood Rd., Palmyra, NY 14522 | 2009-10-06 |
| 1639202815 | Stacey Tinker Welch | Social Worker | 200 Church St, Suite 110, Palmyra, NY 14522 | 2007-03-14 |
| 1184767873 | John Michael Masterson Jr. | Dentist | 402 W Main St, Palmyra, NY 14522-1004 | 2007-02-14 |
| 1619220662 | Jessica Dekdebrun | Licensed Practical Nurse | 201 Park Dr, Palmyra, NY 14522-1113 | 2012-10-16 |
| 1538318050 | Newport Medical, Pllc | Clinic/Center | 221 E Main St, Palmyra, NY 14522-1127 | 2008-09-09 |
| 1265446520 | Malcolm M Riggs | General Practice | 201 E Main St, Palmyra, NY 14522-1127 | 2006-07-29 |
| 1396704060 | Karen May Nickell | Family Medicine | 221 E Main St, Palmyra, NY 14522-1127 | 2006-03-21 |
| 1750820114 | Amanda Wendt | Pharmacist | 214 E Main St, Palmyra, NY 14522-1128 | 2017-02-18 |
| 1144668559 | Palmyra Pharmacy LLC | Pharmacy | 214 E Main St, Palmyra, NY 14522-1128 | 2013-06-07 |
| 1124263710 | Denise Ann Jackson | Specialist | 204 E Main St, Palmyra, NY 14522-1128 | 2008-12-10 |
| Find all providers in zip 14522 | ||||
| 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 |
|---|---|---|---|---|
| 1902407869 | Elise Morse | Counselor | 47 N 5th St, Hudson, NY 12534-1917 | 2020-11-05 |
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1992305031 | Samuel Steinberg | Counselor | 623 Laconia Ave Apt G, Staten Island, NY 10306-5260 | 2020-10-28 |
| 1679172241 | Ilysa Mitofsky | Counselor | 34 Brook Trl, Greenwood Lake, NY 10925-4209 | 2020-10-23 |
| 1740888916 | Katie Glynn | Counselor | 254 Franklin St Fl 2, Buffalo, NY 14202-1932 | 2020-10-11 |
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1700483617 | Samantha J Thompson | Counselor | 152 Sutter Ave, Brooklyn, NY 11212-4504 | 2020-10-04 |
| 1033726047 | Elliot Rosenbaum | Counselor | 121 Station Rd, Great Neck, NY 11023-1720 | 2020-09-24 |
| 1508472002 | Taylor Durant | Counselor | 3959 Broadway Fl 12, New York, NY 10032-1559 | 2020-09-20 |
| 1174138622 | Adam M Schutz | Counselor | 8008 135th St Apt 422, Briarwood, NY 11435-1001 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LACEY JOHNSON.
| 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.