MRS. LACEY JO ANDERSON
NPI 1861872558
Counselor - Professional in Channahon, IL

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment
25224 W. EAMES ST., CHANNAHON, IL 60410(815) 467-8181 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lacey Jo Anderson NPPES

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

MRS. LACEY JO ANDERSON (NPI 1861872558) is an individual professional provider in Channahon, Illinois, licensed in Illinois (180) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1861872558
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. LACEY JO ANDERSON
Location Address25224 W. EAMES ST.Channahon, IL 60410-3102
Mailing Address25224 W. Eames St.Channahon, IL 60410-3102 · (815) 467-8181
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 8, 2015
NPI 1861872558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180
25224 W. EAMES ST., Channahon, IL 60410

Other Names 1

Former Name (1)Ms. Lacey Jo Barthi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lacey Jo Anderson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476992165
PECOS Enrollment IDI20240415000923
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.

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 Anderson's NPI number?

The NPI number for Lacey Anderson is 1861872558. It was assigned to this individual provider in the NPPES registry on June 8, 2015. The provider is also known as Ms. Lacey Jo Barthi.

Where is Lacey Anderson located?

Lacey Anderson practices at 25224 W. Eames St., Channahon, IL 60410. The listed phone number is (815) 467-8181.

What is Lacey Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lacey Anderson enrolled in Medicare?

Yes. Lacey Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lacey Anderson was last updated on June 8, 2015. 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.