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MISTY LYNN LACY
NPI 1487161774
Counselor - Professional in The Dalles, OR

Active since January 08, 2018PECOS Enrolled
419 E 7TH ST STE 207, THE DALLES, OR 97058(541) 296-5452(541) 296-1537 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Misty Lynn Lacy NPPES

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

MISTY LYNN LACY (NPI 1487161774) is an individual professional provider in The Dalles, Oregon, licensed in Oregon (C8485) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487161774
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISTY LYNN LACY
Location Address419 E 7TH ST STE 207The Dalles, OR 97058-2676
Mailing Address419 E 7th St Ste 207The Dalles, OR 97058-2676 · (541) 296-5452 · Fax (541) 296-1537
Phone(541) 296-5452
Fax(541) 296-1537
Sole ProprietorNo
Enumeration DateJanuary 8, 2018
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1487161774 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 OR · C8485
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
419 E 7TH ST STE 207, The Dalles, OR 97058
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misty Lynn 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.

Medicare Billing Reassignment

Medicare enrollment records show Misty Lacy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mid-Columbia Center For Living
0.8 mi
Mental Health (Including Community Mental Health Center)
1060 WEBBER ST
The Dalles, OR 97058
  • Reassigned Medicare billing, Oregon enrollment
  • 38 clinicians in this Medicare group
NPI 1699745794 (541) 296-5452

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.

SHAUN ROVIG
Registered Nurse (Psychiatric/Mental Health)
419 E 7TH ST STE 207
THE DALLES, OR 97058
Wasco County (541) 296-5452
ANNE E WEBBER
Counselor (Addiction (Substance Use Disorder))
419 E 7TH ST STE 207
THE DALLES, OR 97058
Wasco County (541) 296-5452
ETHEL JO MARQUEZ
Case Manager/Care Coordinator
419 E 7TH ST STE 207
THE DALLES, OR 97058
Wasco County (541) 386-2620
RONALD W WING LCSW
Social Worker (Clinical)
419 E 7TH ST STE 207
THE DALLES, OR 97058
Wasco County (541) 296-5452
MISS JANETTE MAY TUCKER
Counselor (Mental Health)
419 E 7TH ST STE 207
THE DALLES, OR 97058
Wasco County (541) 296-5452
ASHLEE RENAE KLAVITER
Counselor (Addiction (Substance Use Disorder))
419 E 7TH ST STE 207
THE DALLES, OR 97058
Wasco County (541) 296-5452
ALLYSON ELIZABETH BILLINGS WICKERHAM
Peer Specialist
419 E 7TH ST STE 207
THE DALLES, OR 97058
Wasco County (541) 296-5452
JENNIFER ALICIA MORRISON MA
Counselor (Mental Health)
419 E 7TH ST STE 207
THE DALLES, OR 97058
Wasco County (541) 296-5452

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 Misty Lacy's NPI number?

The NPI number for Misty Lacy is 1487161774. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Where is Misty Lacy located?

Misty Lacy practices at 419 E 7th St Ste 207, The Dalles, OR 97058. The listed phone number is (541) 296-5452.

What is Misty Lacy's specialty?

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

Is Misty Lacy enrolled in Medicare?

Yes. Misty Lacy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Misty Lacy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Lacy reassigns Medicare benefits to Mid-Columbia Center For Living (The Dalles, OR). 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 Misty Lacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misty Lacy accept?

Health plans from Moda Health Plan, Inc. list Misty Lacy 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 Misty Lacy was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.