DEREK CHRISTOPHER LACY LMHC
NPI 1336868280
Counselor - Mental Health in Providence, RI
About Derek Christopher Lacy Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK CHRISTOPHER LACY LMHC (NPI 1336868280) is an individual mental health provider in Providence, Rhode Island, licensed in Rhode Island (MHC01887) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derek Christopher Lacy Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PROVIDENCE, RI 02904
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 Derek Lacy's NPI number?
The NPI number for Derek Lacy is 1336868280. It was assigned to this individual provider in the NPPES registry on August 24, 2022.
Where is Derek Lacy located?
Derek Lacy practices at 530 N Main St, Providence, RI 02904. The listed phone number is (401) 455-6528.
What is Derek Lacy's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Derek Lacy enrolled in Medicare?
Yes. Derek Lacy is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Derek Lacy was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Derek Christopher Lacy, LMHC · NPI 1336868280
Mental Health provider in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since August 24, 2022.
## Identity
- **NPI:** 1336868280 (Entity type: Individual)
- **Enumerated:** August 24, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MHC01887 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 N MAIN ST, Providence, RI 02904-5762
- **Phone:** (401) 455-6528
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336868280) · Data from the CMS NPPES public registry.