1. Home
  2. Directory
  3. California
  4. Chino
  5. Marriage Family Therapist
  6. NPI Profile

MS. LACEY JANAE WITHAM M.S.
NPI 1982903001
Marriage & Family Therapist in Chino, CA

Active since March 16, 2011PECOS Enrolled
12530 10TH ST., #C, CHINO, CA 91710(626) 536-2664 Get Directions Write a Review

NPPES record last updated: March 16, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Lacey Janae Witham M.s. NPPES

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

MS. LACEY JANAE WITHAM M.S. (NPI 1982903001) is an individual marriage & family therapist in Chino, California, licensed in California (#61195) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982903001
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. LACEY JANAE WITHAMCredential: M.S.
Location Address12530 10TH ST., #CChino, CA 91710
Mailing Address12530 10th St., #cChino, CA 91710 · (626) 536-2664
Phone(626) 536-2664
Sole ProprietorYes
Enumeration DateMarch 16, 2011
✔ NPI 1982903001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · #61195
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
12530 10TH ST., Chino, CA 91710
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lacey Janae Witham M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Lacey Witham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serene Pathways Family Counseling Inc
0.9 mi
Marriage & Family Therapist
11800 CENTRAL AVE STE 225
Chino, CA 91710
  • Reassigned Medicare billing, California enrollment
  • 31 clinicians in this Medicare group
NPI 1174913321 (909) 591-5085

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Witham's NPI number?

The NPI number for Lacey Witham is 1982903001. It was assigned to this individual provider in the NPPES registry on March 16, 2011.

Where is Lacey Witham located?

Lacey Witham practices at 12530 10th St. #c, Chino, CA 91710. The listed phone number is (626) 536-2664.

What is Lacey Witham's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Lacey Witham enrolled in Medicare?

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

Which organization bills Medicare for Lacey Witham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Witham reassigns Medicare benefits to Serene Pathways Family Counseling Inc (Chino, 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 Lacey Witham'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 Lacey Witham was last updated on March 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.