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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LACEY WISE CADC-II
NPI 1750831806
Counselor - Addiction (Substance Use Disorder) in Roseville, CA

Active since October 12, 2016
1133 COLOMA WAY, ROSEVILLE, CA 95661(916) 774-6647 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2020, Oct 12, 2016 (2 updates tracked since 2016).

About Lacey Wise Cadc-ii NPPES

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

LACEY WISE CADC-II (NPI 1750831806) is an individual addiction (substance use disorder) provider in Roseville, California, licensed in California (A057120520) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1750831806
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLACEY WISECredential: CADC-II
Location Address1133 COLOMA WAYRoseville, CA 95661-4480
Mailing Address1133 Coloma WayRoseville, CA 95661-4480 · (916) 774-6647
Phone(916) 774-6647
Sole ProprietorNo
Enumeration DateOctober 12, 2016
Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1750831806 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 · A057120520
1133 COLOMA WAY, Roseville, CA 95661
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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.

MANOUELA KRASTEVA DIMOVA
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 774-6647
MR. ROMAN NASERI I RADT
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 798-5485
MS. ALORALYN ROMINQUE AYRAN
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY, #C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
ANDREA MICHELLE FERRIE
Counselor (Mental Health)
1133 COLOMA WAY, SUITE A
ROSEVILLE, CA 95661
Placer County (916) 786-3750
MIRANDA LELA LOW CADC I
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 774-6647
SHARENE ARSHADI
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 774-6647
MR. DAVID MICHAEL BETTENCOURT
Counselor (Mental Health)
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 452-3981
JENNIFER FRANCISCO
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 774-6647

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 Wise's NPI number?

The NPI number for Lacey Wise is 1750831806. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Lacey Wise located?

Lacey Wise practices at 1133 Coloma Way, Roseville, CA 95661. The listed phone number is (916) 774-6647.

What is Lacey Wise'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 Lacey Wise was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.