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JIMMY LACEY
NPI 1508387473
Counselor - Addiction (Substance Use Disorder) in Pasadena, CA

Active since June 30, 2017
1230 N MARENGO AVE, PASADENA, CA 91103(626) 797-1124(626) 398-9674 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 30, 2017 (3 updates tracked since 2017).

About Jimmy Lacey NPPES

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

JIMMY LACEY (NPI 1508387473) is an individual addiction (substance use disorder) provider in Pasadena, California, licensed in California (R1242210117) and active in the NPI registry since June 2017. He maintains a secondary practice location in Pasadena.

NPPES Registry Identity

NPI1508387473
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJIMMY LACEY
Location Address1230 N MARENGO AVEPasadena, CA 91103-2217
Mailing Address1230 N Marengo AvePasadena, CA 91103-2217 · (626) 797-1124 · Fax (626) 398-9674
Phone(626) 797-1124
Fax(626) 398-9674
Sole ProprietorNo
Enumeration DateJune 30, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1508387473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1242210117
1230 N MARENGO AVE, Pasadena, CA 91103
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Secondary Practice Location 1

Location 1225 Grandview StPasadena, CA 91104-2114 · Phone (626) 797-1124 ext. 106 · Fax (626) 398-5984

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.

GRANDVIEW FOUNDATION, INC.
Substance Abuse Rehabilitation Facility
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
MR. FERNANDO LODEVICO
Case Manager/Care Coordinator
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
MRS. ANNA NUNEZ CATCII
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
RENEE ROCHELLE FREELAND CADC-II
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
MORRIS KELLYBREW CADAC-CAS
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
LUIS ALFREDO NAVA
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
MR. ALFRED S MACIAS
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
RENE REYES
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124

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 Jimmy Lacey's NPI number?

The NPI number for Jimmy Lacey is 1508387473. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Jimmy Lacey located?

Jimmy Lacey practices at 1230 N Marengo Ave, Pasadena, CA 91103. The listed phone number is (626) 797-1124.

What is Jimmy Lacey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jimmy Lacey was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.