CAROLYN LACEWELL LPC
NPI 1235812892
Counselor - Professional in Kennett, MO

Active since August 10, 2023PECOS Enrolled
875 STATE ROUTE VV, KENNETT, MO 63857(573) 559-2380 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 27, 2026, Aug 10, 2023 (2 updates tracked since 2023).

About Carolyn Lacewell Lpc NPPES

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

CAROLYN LACEWELL LPC (NPI 1235812892) is an individual professional provider in Kennett, Missouri and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235812892
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCAROLYN LACEWELLCredential: LPC
Location Address875 STATE ROUTE VVKennett, MO 63857-9108
Mailing Address875 State Route VvKennett, MO 63857-9108 · (573) 559-2380
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 10, 2023
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
NPI 1235812892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
875 STATE ROUTE VV, Kennett, MO 63857

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carolyn Lacewell Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234607300
PECOS Enrollment IDI20260506003685
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.

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.

Behavior Technician
875 STATE ROUTE VV
KENNETT, MO 63857
Case Manager/Care Coordinator
875 STATE ROUTE VV
KENNETT, MO 63857
Peer Specialist
875 STATE ROUTE VV
KENNETT, MO 63857
Case Manager/Care Coordinator
875 STATE ROUTE VV
KENNETT, MO 63857
Case Manager/Care Coordinator
875 STATE ROUTE VV
KENNETT, MO 63857
Licensed Practical Nurse
875 STATE ROUTE VV
KENNETT, MO 63857
Case Manager/Care Coordinator
875 STATE ROUTE VV
KENNETT, MO 63857
Case Manager/Care Coordinator
875 STATE ROUTE VV
KENNETT, MO 63857

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235812892, enumerated as an "individual" on August 10, 2023.

The provider is located at 875 STATE ROUTE VV KENNETT, MO 63857 and the phone number is (573) 559-2380.

Counselor with taxonomy code 101YP2500X and a focus in Professional.