REBECCA SUZANNE LACY
NPI 1073079083
Counselor - Mental Health in Portland, OR

Active since February 14, 2019
2409 SE 139TH AVE, PORTLAND, OR 97233(503) 786-3830(503) 653-3534 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Suzanne Lacy NPPES

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

REBECCA SUZANNE LACY (NPI 1073079083) is an individual mental health provider in Portland, Oregon and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1073079083
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREBECCA SUZANNE LACY
Location Address2409 SE 139TH AVEPortland, OR 97233-2041
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Fax(503) 653-3534
Sole ProprietorNo
Enumeration DateFebruary 14, 2019
NPI 1073079083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2409 SE 139TH AVE, Portland, OR 97233

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
2409 SE 139TH AVE
PORTLAND, OR 97233
Counselor (Mental Health)
2409 SE 139TH AVE
PORTLAND, OR 97233
Counselor (Mental Health)
2409 SE 139TH AVE
PORTLAND, OR 97233
Counselor (Mental Health)
2409 SE 139TH AVE
PORTLAND, OR 97233

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 Rebecca Lacy's NPI number?

The NPI number for Rebecca Lacy is 1073079083. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Where is Rebecca Lacy located?

Rebecca Lacy practices at 2409 SE 139th Ave, Portland, OR 97233. The listed phone number is (503) 786-3830.

What is Rebecca 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 Rebecca Lacy was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.