LACEY LEACH LPC
NPI 1205619376
Counselor - Professional in Kilgore, TX
About Lacey Leach Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACEY LEACH LPC (NPI 1205619376) is an individual professional provider in Kilgore, Texas, licensed in Texas (74355) and active in the NPI registry since August 2023. She has opted out of Medicare through June 26, 2028.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Lacey Leach 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 June 26, 2024 through June 26, 2028.
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 Leach's NPI number?
The NPI number for Lacey Leach is 1205619376. It was assigned to this individual provider in the NPPES registry on August 14, 2023.
Where is Lacey Leach located?
Lacey Leach practices at 4503 Windsor Park Ln, Kilgore, TX 75662. The listed phone number is (903) 738-1944.
What is Lacey Leach's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Lacey Leach enrolled in Medicare?
No. Lacey Leach has opted out of Medicare through June 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Lacey Leach accept?
Health plans from Blue Cross and Blue Shield of Texas, Harbor Health and UnitedHealthcare list Lacey Leach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lacey Leach was last updated on August 14, 2023. 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.
# Lacey Leach, LPC · NPI 1205619376
Professional provider in Kilgore, Texas. Individual provider, active in the CMS NPPES registry since August 14, 2023.
## Identity
- **NPI:** 1205619376 (Entity type: Individual)
- **Enumerated:** August 14, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 74355 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4503 WINDSOR PARK LN, Kilgore, TX 75662-8717
- **Phone:** (903) 738-1944
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 26, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205619376) · Data from the CMS NPPES public registry.