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LACY LEA PREMO
NPI 1023749736
Counselor - Mental Health in Gold Beach, OR

Active since June 22, 2022
29845 AIRPORT WAY, GOLD BEACH, OR 97444(541) 708-9582 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lacy Lea Premo NPPES

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

LACY LEA PREMO (NPI 1023749736) is an individual mental health provider in Gold Beach, Oregon and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1023749736
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLACY LEA PREMO
Location Address29845 AIRPORT WAYGold Beach, OR 97444
Mailing Address29845 Airport WayGold Beach, OR 97444 · (541) 708-9582
Phone(541) 708-9582
Sole ProprietorNo
Enumeration DateJune 22, 2022
Last NPPES UpdateJune 17, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1023749736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
29845 AIRPORT WAY, Gold Beach, OR 97444
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Other Providers at the Same Location NPPES 6

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

CHRISTIE SABIN
Peer Specialist
29845 AIRPORT WAY
GOLD BEACH, OR 97444
Curry County (541) 425-7545
PAMELA JEFFCOCK ALLISTER
Counselor (Addiction (Substance Use Disorder))
29845 AIRPORT WAY
GOLD BEACH, OR 97444
Curry County (541) 813-2535
ERIN LEIGH ANDERSON
Case Manager/Care Coordinator
29845 AIRPORT WAY
GOLD BEACH, OR 97444
Curry County (541) 780-9582
CHEYENE SHANENDOAH ALEXANDER
Case Manager/Care Coordinator
29845 AIRPORT WAY
GOLD BEACH, OR 97444
Curry County (541) 373-1745
AMANDA MARIE COTTON
Counselor (Mental Health)
29845 AIRPORT WAY
GOLD BEACH, OR 97444
Curry County (877) 408-8941
FRANCIS A FROST
Peer Specialist
29845 AIRPORT WAY
GOLD BEACH, OR 97444
Curry County (877) 408-8941

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 Lacy Premo's NPI number?

The NPI number for Lacy Premo is 1023749736. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Lacy Premo located?

Lacy Premo practices at 29845 Airport Way, Gold Beach, OR 97444. The listed phone number is (541) 708-9582.

What is Lacy Premo'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 Lacy Premo was last updated on June 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.