DIANNA LACY
NPI 1710385802
Counselor - Mental Health in Oakland, CA

Active since December 05, 2014PECOS Enrolled
1266 14TH ST, OAKLAND, CA 94607(510) 531-3111 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dianna Lacy NPPES

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

DIANNA LACY (NPI 1710385802) is an individual mental health provider in Oakland, California and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1710385802
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDIANNA LACY
Location Address1266 14TH STOakland, CA 94607-2205
Mailing Address1266 14th StOakland, CA 94607-2205 · (510) 531-3111
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 5, 2014
✔ NPI 1710385802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1266 14TH ST, Oakland, CA 94607

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dianna Lacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456847193
PECOS Enrollment IDI20251231002995
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 Dianna Lacy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

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.

Counselor (Mental Health)
1266 14TH ST
OAKLAND, CA 94607
Marriage & Family Therapist
1266 14TH ST
OAKLAND, CA 94607
Student in an Organized Health Care Education/Training Program
1266 14TH ST
OAKLAND, CA 94607
Social Worker (Clinical)
1266 14TH ST
OAKLAND, CA 94607
Student in an Organized Health Care Education/Training Program
1266 14TH ST
OAKLAND, CA 94607
Social Worker (Clinical)
1266 14TH ST
OAKLAND, CA 94607
Student in an Organized Health Care Education/Training Program
1266 14TH ST
OAKLAND, CA 94607
Social Worker (Clinical)
1266 14TH ST
OAKLAND, CA 94607

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 Dianna Lacy's NPI number?

The NPI number for Dianna Lacy is 1710385802. It was assigned to this individual provider in the NPPES registry on December 5, 2014.

Where is Dianna Lacy located?

Dianna Lacy practices at 1266 14th St, Oakland, CA 94607. The listed phone number is (510) 531-3111.

What is Dianna Lacy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Dianna Lacy enrolled in Medicare?

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

Which organization bills Medicare for Dianna Lacy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dianna Lacy reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). 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 Dianna Lacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dianna Lacy was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.