LACEY BUCKINGHAM LPC
NPI 1104385590
Counselor - Mental Health in Spokane, WA

Q: What is Lacey Buckingham's NPI number?

The NPI number for Lacey Buckingham is 1104385590. It was assigned to this individual provider in the NPPES registry on March 15, 2019.

Q: What is Lacey Buckingham's specialty?

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

Q: Is Lacey Buckingham enrolled in Medicare?

No. Lacey Buckingham has opted out of Medicare through March 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lacey Buckingham was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 15, 2019Opted out of Medicare · through Mar 15, 2028

100 N HOWARD ST STE R, SPOKANE, WA 99201(206) 761-1339(206) 589-9128 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2022, Mar 15, 2019 (2 updates tracked since 2019).

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About Lacey Buckingham Lpc NPPES

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

LACEY BUCKINGHAM LPC (NPI 1104385590) is an individual mental health provider in Spokane, Washington and active in the NPI registry since March 2019. She has opted out of Medicare through March 15, 2028.

NPPES Registry Identity

NPI1104385590

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLACEY BUCKINGHAMCredential: LPC

Location Address100 N HOWARD ST STE RSpokane, WA 99201-0508

Mailing Address100 N Howard St Ste RSpokane, WA 99201-0508 · (206) 761-1339 · Fax (206) 589-9128

Phone(206) 761-1339

Fax(206) 589-9128

Sole ProprietorNo

Enumeration DateMarch 15, 2019

Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2022

✔ NPI 1104385590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

100 N HOWARD ST STE R, Spokane, WA 99201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Lacey Buckingham Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2024 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2024

Opt-Out In Effect ThroughMarch 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

ASHLEE GUCKEL LMHC

Counselor (Mental Health)