1. Home
  2. Directory
  3. Oregon
  4. Medford
  5. Counselor
  6. NPI Profile

LACEY A REAVES
NPI 1275048555
Counselor - Mental Health in Medford, OR

Active since December 07, 2017PECOS Enrolled
200 BEATTY ST, MEDFORD, OR 97501(541) 476-2373 Get Directions Write a Review

NPPES record last updated: April 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2020, Mar 10, 2020, Dec 7, 2017 (3 updates tracked since 2017).

About Lacey A Reaves NPPES

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

LACEY A REAVES (NPI 1275048555) is an individual mental health provider in Medford, Oregon and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275048555
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLACEY A REAVES
Location Address200 BEATTY STMedford, OR 97501-5811
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Enumeration DateDecember 7, 2017
Last NPPES UpdateApril 26, 20203 updates tracked since enumeration
NPPES CertifiedApril 26, 2020
✔ NPI 1275048555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
200 BEATTY ST, Medford, OR 97501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey A Reaves is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Lacey Reaves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Options For Southern Oregon
24 mi
Primary Care
1545 HARBECK RD
Grants Pass, OR 97527
  • Reassigned Medicare billing, Oregon enrollment
  • 125 clinicians in this Medicare group
NPI 1952708422 (541) 476-2373

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KATHERINE LEONIS RN
Registered Nurse
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
SCOTT WILLISTON MS, QMHP
Counselor (Professional)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-3302
GENEVIEVE KLAM M.S.
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KYLE BRENT ODESHA
Case Manager/Care Coordinator
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
PANDORA MAE HAMSA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
SHELBY JANE HEYER PSS
Peer Specialist
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
MAYUMI OTTMAN QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KAYLA ROSE RASSON QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373

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 Reaves's NPI number?

The NPI number for Lacey Reaves is 1275048555. It was assigned to this individual provider in the NPPES registry on December 7, 2017.

Where is Lacey Reaves located?

Lacey Reaves practices at 200 Beatty St, Medford, OR 97501. The listed phone number is (541) 476-2373.

What is Lacey Reaves's specialty?

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

Is Lacey Reaves enrolled in Medicare?

Yes. Lacey Reaves is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lacey Reaves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Reaves reassigns Medicare benefits to Options For Southern Oregon (Grants Pass, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lacey Reaves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacey Reaves accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Lacey Reaves 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 Reaves was last updated on April 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.