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ETHAN KENT LACEY
NPI 1881302479
Counselor - Professional in New Brighton, MN

Active since November 11, 2022PECOS Enrolled
900 LONG LAKE RD STE 320, NEW BRIGHTON, MN 55112(651) 482-9361(651) 482-9888 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2025, Nov 11, 2022 (2 updates tracked since 2022).

About Ethan Kent Lacey NPPES

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

ETHAN KENT LACEY (NPI 1881302479) is an individual professional provider in New Brighton, Minnesota, licensed in Minnesota (5193) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1881302479
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameETHAN KENT LACEY
Location Address900 LONG LAKE RD STE 320New Brighton, MN 55112-6439
Mailing Address900 Long Lake Rd Ste 320New Brighton, MN 55112-6439 · (651) 482-9361 · Fax (651) 482-9888
Phone(651) 482-9361
Fax(651) 482-9888
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 11, 2022
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1881302479 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 MN · 5193

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Kent Lacey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143727701
PECOS Enrollment IDI20251009000528
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.

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.

MICHELLE BEILBY COUNSELING LLC
Marriage & Family Therapist
900 LONG LAKE RD STE 320
NEW BRIGHTON, MN 55112
Ramsey County (651) 482-9361
JOVI COUNSELING LLC
Counselor (Professional)
900 LONG LAKE RD STE 320
NEW BRIGHTON, MN 55112
Ramsey County (651) 482-9361
KRAEMER PSYCHOLOGICAL SERVICES LLC
Psychologist (Clinical)
900 LONG LAKE RD STE 320
NEW BRIGHTON, MN 55112
Ramsey County (651) 482-9361
KRISTINE LUTZ COUNSELING PLLC
Marriage & Family Therapist
900 LONG LAKE RD STE 320
NEW BRIGHTON, MN 55112
Ramsey County (651) 482-9361
KRISTINE L. LUTZ MA, LMFT
Marriage & Family Therapist
900 LONG LAKE RD STE 320
NEW BRIGHTON, MN 55112
Ramsey County (651) 482-9361
CHRISTINE J TAMEZ MA, LMFT
Marriage & Family Therapist
900 LONG LAKE RD STE 320
NEW BRIGHTON, MN 55112
Ramsey County (651) 482-9361
KIM SURVE LLC
Marriage & Family Therapist
900 LONG LAKE RD STE 320
NEW BRIGHTON, MN 55112
Ramsey County (651) 482-9361
THE WOODLAND CENTER FOR PSYCHOTHERAPY
Psychologist (Clinical)
900 LONG LAKE RD STE 320
NEW BRIGHTON, MN 55112
Ramsey County (651) 482-9361

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 Ethan Lacey's NPI number?

The NPI number for Ethan Lacey is 1881302479. It was assigned to this individual provider in the NPPES registry on November 11, 2022.

Where is Ethan Lacey located?

Ethan Lacey practices at 900 Long Lake Rd Ste 320, New Brighton, MN 55112. The listed phone number is (651) 482-9361.

What is Ethan Lacey's specialty?

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

Is Ethan Lacey enrolled in Medicare?

Yes. Ethan Lacey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Lacey was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.