MARY KELLY MOORE LACKEY LPC
NPI 1326200437
Counselor - Professional in Oklahoma City, OK

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
4013 NW EXPRESSWAY STE 105, OKLAHOMA CITY, OK 73116(405) 378-2727 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2022, Mar 13, 2020 (2 updates tracked since 2020).

About Mary Kelly Moore Lackey Lpc NPPES

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

MARY KELLY MOORE LACKEY LPC (NPI 1326200437) is an individual professional provider in Oklahoma City, Oklahoma, licensed in Oklahoma (LPC04635) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1326200437
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY KELLY MOORE LACKEYCredential: LPC
Location Address4013 NW EXPRESSWAY STE 105Oklahoma City, OK 73116-2618
Mailing Address4013 Nw Expressway Ste 105Oklahoma City, OK 73116-2618 · (405) 378-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateJanuary 15, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
NPI 1326200437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OK · LPC04635
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC04635 (OK)
4013 NW EXPRESSWAY STE 105, Oklahoma City, OK 73116

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Kelly Moore Lackey Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052761038
PECOS Enrollment IDI20240103002599
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 10

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

Counselor (Professional)
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK 73116
Licensed Practical Nurse
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK 73116
Nurse Practitioner (Psychiatric/Mental Health)
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK 73116
Social Worker (Clinical)
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK 73116
Counselor (Mental Health)
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK 73116
Physician Assistant
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK 73116
Counselor (Professional)
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK 73116
Social Worker (Clinical)
4013 NW EXPRESSWAY STE 105
OKLAHOMA CITY, OK 73116

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 Mary Moore Lackey's NPI number?

The NPI number for Mary Moore Lackey is 1326200437. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Mary Moore Lackey located?

Mary Moore Lackey practices at 4013 NW Expressway Ste 105, Oklahoma City, OK 73116. The listed phone number is (405) 378-2727.

What is Mary Moore Lackey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Moore Lackey enrolled in Medicare?

Yes. Mary Moore Lackey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Moore Lackey accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Oscar Insurance Company and Providence Health Plan and 1 other insurer list Mary Moore Lackey 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 Mary Moore Lackey was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.