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LACEY POTTER
NPI 1114448917
Peer Specialist in Ada, OK

Active since June 30, 2017
15881 COUNTY ROAD 3590, ADA, OK 74820(580) 235-3138 Get Directions Write a Review

NPPES record last updated: June 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacey Potter NPPES

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

LACEY POTTER (NPI 1114448917) is an individual peer specialist in Ada, Oklahoma and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1114448917
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameLACEY POTTER
Location Address15881 COUNTY ROAD 3590Ada, OK 74820-0483
Mailing AddressPo Box 715Ada, OK 74821-0715 · (580) 235-3138
Phone(580) 235-3138
Sole ProprietorYes
Enumeration DateJune 30, 2017
✔ NPI 1114448917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
15881 COUNTY ROAD 3590, Ada, OK 74820
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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 Lacey Potter's NPI number?

The NPI number for Lacey Potter is 1114448917. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Lacey Potter located?

Lacey Potter practices at 15881 County Road 3590, Ada, OK 74820. The listed phone number is (580) 235-3138.

What is Lacey Potter's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Lacey Potter was last updated on June 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.