LESE LACKEY LPC
NPI 1073937868
Counselor - Professional in Phoenix, AZ

Q: What is Lese Lackey's NPI number?

The NPI number for Lese Lackey is 1073937868. It was assigned to this individual provider in the NPPES registry on February 13, 2014.

Q: What is Lese Lackey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Lese Lackey was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 13, 2014PECOS EnrolledAccepts Medicare Assignment

20440 N 27TH AVE, PHOENIX, AZ 85027(480) 882-4545(480) 882-4545 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2026, Feb 6, 2026 (2 updates tracked since 2026).

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About Lese Lackey Lpc NPPES

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

LESE LACKEY LPC (NPI 1073937868) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC-24571) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073937868

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLESE LACKEYCredential: LPC

Location Address20440 N 27TH AVEPhoenix, AZ 85027-3240

Mailing Address24894 W Dove Run DrBuckeye, AZ 85326-1721 · (623) 633-1362

Phone(480) 882-4545

Fax(480) 882-4545

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 13, 2014

Last NPPES UpdateApril 6, 20262 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1073937868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AZ · LPC-24571

20440 N 27TH AVE, Phoenix, AZ 85027

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lese Lackey Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486135076

PECOS Enrollment IDI20260222000167

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

NANETTE M KLAUS LPC

Counselor (Mental Health)