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JOHN LACY
NPI 1003431362
Counselor - Mental Health in Portland, OR

Active since June 12, 2020
17640 NE HALSEY ST, PORTLAND, OR 97230(503) 489-5045(503) 489-5638 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2024, Oct 10, 2023, Apr 24, 2021 and 1 more (4 updates tracked since 2020).

About John Lacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN LACY (NPI 1003431362) is an individual mental health provider in Portland, Oregon, licensed in (PROFESSIONALLICENSE) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1003431362
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHN LACY
Location Address17640 NE HALSEY STPortland, OR 97230-6733
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(503) 489-5045
Fax(503) 489-5638
Sole ProprietorNo
Enumeration DateJune 12, 2020
Last NPPES UpdateJune 5, 20244 updates tracked since enumeration
NPPES CertifiedApril 24, 2021
✔ NPI 1003431362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · PROFESSIONALLICENSE
17640 NE HALSEY ST, Portland, OR 97230
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA DREHER
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
JEWELL COLBERT
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
MARIAH BARCINAS
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
JERI DARR
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 654-7654
SHANIQUA BURTON
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
ANGELINA CYNTHIA JEAN CORONA
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
GRACEE HEART
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
FATU SARYON
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Lacy's NPI number?

The NPI number for John Lacy is 1003431362. It was assigned to this individual provider in the NPPES registry on June 12, 2020.

Where is John Lacy located?

John Lacy practices at 17640 NE Halsey St, Portland, OR 97230. The listed phone number is (503) 489-5045.

What is John Lacy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for John Lacy was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.