LACEY EVELYN NIEMI MA, LMHCA
NPI 1700422714
Counselor in Arlington, WA

Q: What is Lacey Niemi's NPI number?

The NPI number for Lacey Niemi is 1700422714. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Q: What is Lacey Niemi's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Lacey Niemi enrolled in Medicare?

No. Lacey Niemi has opted out of Medicare through March 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lacey Niemi was last updated on January 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 25, 2019Opted out of Medicare · through Mar 3, 2028

307 N OLYMPIC AVE STE 203, ARLINGTON, WA 98223(425) 931-8533 Get Directions Write a Review

NPPES record last updated: January 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 1, 2025, Nov 25, 2019 (2 updates tracked since 2019).

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About Lacey Evelyn Niemi Ma, Lmhca NPPES

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

LACEY EVELYN NIEMI MA, LMHCA (NPI 1700422714) is an individual counselor in Arlington, Washington, licensed in Washington (MC61555987) and active in the NPI registry since November 2019. She has opted out of Medicare through March 3, 2028 and maintains a secondary practice location in Everett.

NPPES Registry Identity

NPI1700422714

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameLACEY EVELYN NIEMICredential: MA, LMHCA

Location Address307 N OLYMPIC AVE STE 203Arlington, WA 98223-1351

Mailing Address260 Shumway RdCamano Island, WA 98282-8763 · (360) 420-1178

Phone(425) 931-8533

Sole ProprietorNo

Enumeration DateNovember 25, 2019

Last NPPES UpdateJanuary 1, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 1, 2025

✔ NPI 1700422714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · MC61555987

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

307 N OLYMPIC AVE STE 203, Arlington, WA 98223

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Secondary Practice Location 1

Location 11902 120th Pl SE Ste 101Everett, WA 98208-8400 · Phone (669) 250-6040

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lacey Evelyn Niemi Ma, Lmhca has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 3, 2026 through March 3, 2028.

Opt-Out Effective DateMarch 3, 2026

Opt-Out In Effect ThroughMarch 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KLN COUNSELING PLLC

Counselor (Mental Health)