LACEY BASS
NPI 1316705171
Counselor - Mental Health in Fort Wayne, IN

Active since March 07, 2024
2250 LAKE AVE STE 100, FORT WAYNE, IN 46805(260) 543-0009 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacey Bass NPPES

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

LACEY BASS (NPI 1316705171) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1316705171
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLACEY BASS
Location Address2250 LAKE AVE STE 100Fort Wayne, IN 46805-5352
Mailing Address2250 Lake Ave Ste 100Fort Wayne, IN 46805-5352
Sole ProprietorYes
Enumeration DateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
NPI 1316705171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2250 LAKE AVE STE 100, Fort Wayne, IN 46805

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2250 LAKE AVE STE 100
FORT WAYNE, IN 46805
Counselor (Mental Health)
2250 LAKE AVE STE 100
FORT WAYNE, IN 46805
Counselor (Mental Health)
2250 LAKE AVE STE 100
FORT WAYNE, IN 46805

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 Bass's NPI number?

The NPI number for Lacey Bass is 1316705171. It was assigned to this individual provider in the NPPES registry on March 7, 2024.

Where is Lacey Bass located?

Lacey Bass practices at 2250 Lake Ave Ste 100, Fort Wayne, IN 46805. The listed phone number is (260) 543-0009.

What is Lacey Bass's specialty?

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

When was this NPI record last updated?

The NPPES record for Lacey Bass was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.