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DEEVERIA ASHTON LACY LPC
NPI 1336641547
Counselor - Professional in Stockbridge, GA

Active since March 03, 2018PECOS EnrolledAccepts Medicare Assignment
275 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281(770) 474-8400(770) 474-3738 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2026, Dec 24, 2025, Jul 11, 2023 and 2 more (5 updates tracked since 2018).

About Deeveria Ashton Lacy Lpc NPPES

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

DEEVERIA ASHTON LACY LPC (NPI 1336641547) is an individual professional provider in Stockbridge, Georgia, licensed in Georgia (LPC014381) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336641547
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDEEVERIA ASHTON LACYCredential: LPC
Location Address275 COUNTRY CLUB DRStockbridge, GA 30281-7349
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Phone(770) 474-8400
Fax(770) 474-3738
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 3, 2018
Last NPPES UpdateJanuary 8, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1336641547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC014381
275 COUNTRY CLUB DR, Stockbridge, GA 30281
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deeveria Ashton Lacy 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 ID8820433329
PECOS Enrollment IDI20240223002396
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 Deeveria Lacy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Personal Recovery Network LLC
0.1 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

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.

DR. JOYCE HELEN WEBB PH.D.
Psychologist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Henry County (770) 474-8400
RACHEL JOYCE BRYANT LP
Psychologist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Henry County (770) 474-8400
SUSAN ANN STEWART LPC
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Henry County (770) 474-8400
AMMERETA LEANNA GASKIN LMFT
Marriage & Family Therapist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Henry County (770) 474-8400
APRIL TAMIKA OWENS
Counselor (Mental Health)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Henry County (770) 474-8400
MYNGNON DENISE WALTON LAPC, CAMS
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Henry County (770) 474-8400
KEYSTONE COUNSELING CENTER
Marriage & Family Therapist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Henry County (770) 474-8400
MRS. ALISHA CURRY WALKER LPC
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Henry County (770) 474-3738

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 Deeveria Lacy's NPI number?

The NPI number for Deeveria Lacy is 1336641547. It was assigned to this individual provider in the NPPES registry on March 3, 2018.

Where is Deeveria Lacy located?

Deeveria Lacy practices at 275 Country Club Dr, Stockbridge, GA 30281. The listed phone number is (770) 474-8400.

What is Deeveria Lacy's specialty?

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

Is Deeveria Lacy enrolled in Medicare?

Yes. Deeveria Lacy 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.

Which organization bills Medicare for Deeveria Lacy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deeveria Lacy reassigns Medicare benefits to Personal Recovery Network LLC (Stockbridge, GA). 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 Deeveria Lacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deeveria Lacy was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.