KIMBERLY ANN LACY
NPI 1306220157
Marriage & Family Therapist in San Leandro, CA

Q: What is Kimberly Lacy's NPI number?

The NPI number for Kimberly Lacy is 1306220157. It was assigned to this individual provider in the NPPES registry on July 10, 2015.

Q: What is Kimberly Lacy's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Lacy was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 10, 2015PECOS Enrolled

2275 ARLINGTON DR, SAN LEANDRO, CA 94578(510) 317-1444 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2021, Dec 15, 2020, Jun 7, 2019 and 2 more (5 updates tracked since 2016).

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About Kimberly Ann Lacy NPPES

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

KIMBERLY ANN LACY (NPI 1306220157) is an individual marriage & family therapist in San Leandro, California, licensed in California (123204) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306220157

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKIMBERLY ANN LACY

Location Address2275 ARLINGTON DRSan Leandro, CA 94578-1132

Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132 · (510) 317-1444

Phone(510) 317-1444

Sole ProprietorNo

Enumeration DateJuly 10, 2015

Last NPPES UpdateJune 16, 20225 updates tracked since enumeration

NPPES CertifiedJune 16, 2022

✔ NPI 1306220157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 123204

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 9665 (CA)

2275 ARLINGTON DR, San Leandro, CA 94578

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Ann Lacy 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.

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.

ANUSHEH N WARDA

Counselor