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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LACEY BUZZARD CPSST
NPI 1528982816
Peer Specialist in Centralia, WA

Active since August 07, 2026
1126 S GOLD ST, CENTRALIA, WA 98531(360) 807-4929(844) 612-6673 Get Directions Write a Review

NPPES record added: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lacey Buzzard Cpsst NPPES

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

LACEY BUZZARD CPSST (NPI 1528982816) is an individual peer specialist in Centralia, Washington, licensed in Washington (PE70140469) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1528982816
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameLACEY BUZZARDCredential: CPSST
Location Address1126 S GOLD STCentralia, WA 98531-3714
Mailing AddressPo Box 2394Longview, WA 98632-8455 · (360) 200-5419 · Fax (844) 612-6673
Phone(360) 807-4929
Fax(844) 612-6673
Sole ProprietorNo
Enumeration DateAugust 7, 2026
NPPES CertifiedAugust 7, 2026
✔ NPI 1528982816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Licenses✔ Licensed in WA · PE70140469✔ Licensed in WA · CG70161196
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1126 S GOLD ST, Centralia, WA 98531
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Other Names 1

Former Name (1)Lacey Mickelson

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.

BRYAN STURGILL AAC, CPC
Peer Specialist
1126 S GOLD ST
CENTRALIA, WA 98531
Lewis County (360) 807-4929
CARLY HOLMES AAC, CPC
Peer Specialist
1126 S GOLD ST
CENTRALIA, WA 98531
Lewis County (360) 807-4929
MRS. TAYLOR MARLANE MCLYNNE BS, R-AAC
Counselor
1126 S GOLD ST
CENTRALIA, WA 98531
Lewis County (360) 807-4929
JOHN D LOPEZ II AAC
Counselor
1126 S GOLD ST
CENTRALIA, WA 98531
Lewis County (360) 807-4929
ELIZABETH MULLINS CPC
Peer Specialist
1126 S GOLD ST
CENTRALIA, WA 98531
Lewis County (360) 807-4929
HILARY MARTINEZ JR. BS, AAC
Counselor
1126 S GOLD ST
CENTRALIA, WA 98531
Lewis County (360) 807-4929
AMANDA MARIE CASHION BSW, R-AAC
Counselor
1126 S GOLD ST
CENTRALIA, WA 98531
Lewis County (360) 807-4929
AMANDA MULLINS AA, R-AAC, CPC
Peer Specialist
1126 S GOLD ST
CENTRALIA, WA 98531
Lewis County (360) 807-4929

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 Lacey Buzzard's NPI number?

The NPI number for Lacey Buzzard is 1528982816. It was assigned to this individual provider in the NPPES registry on August 7, 2026. The provider is also known as Lacey Mickelson.

Where is Lacey Buzzard located?

Lacey Buzzard practices at 1126 S Gold St, Centralia, WA 98531. The listed phone number is (360) 807-4929.

What is Lacey Buzzard's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Lacey Buzzard was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.