LACEY TAYLOR (NPI# 1508370321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508370321 |
| Entity Type | Individual |
| Full Name | LACEY TAYLOR |
| Credential | PLMHP, PMSW |
| Practice Address |
10846 Old Mill Rd Ste 5 Omaha NE 68154-2655 |
| Mailing Address |
408 N Main St Hooper NE 68031-3022 |
| Practice Telephone | 4028711002 |
| Mailing Telephone | 4022780264 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
11336 | NE | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
7202 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NOT AN INSURANCE PROVIDER AT THIS TIME | 11336 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902279144 | Lacey Trinette Taylor | Registered Nurse | 6184 Babin Wilson St., Convent, LA 70723 | 2015-11-10 |
| 1376092361 | Lacey Renee Taylor | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2016-10-02 |
| Street Address |
10846 OLD MILL RD STE 5 |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669799300 | Kristine Ruth Severe | Social Worker | 10846 Old Mill Rd Ste 5, Omaha, NE 68154-2655 | 2010-04-20 |
| 1831657485 | Emily Lynn Rokon | Social Worker | 10846 Old Mill Rd Ste 5, Omaha, NE 68154-2655 | 2019-03-02 |
| 1609233501 | Jamie Harris | Counselor | 10846 Old Mill Rd Ste 5, Omaha, NE 68154-2655 | 2016-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023321 | Omaha Mental Health LLC | Counselor | 12305 Gold St Ste 13, Omaha, NE 68144-2760 | 2020-11-04 |
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1497368476 | Jennifer Cherney | Counselor | 9218 Bedford Ave, Omaha, NE 68134-4726 | 2020-08-28 |
| 1356959530 | Wonderful Counselor | Counselor | 1524 Cuming St Apt 309, Omaha, NE 68102-4435 | 2020-07-14 |
| 1295357069 | Tracy N Gilman | Counselor | 42nd and Dewey St, Omaha, NE 68198-1023 | 2020-05-14 |
| 1609498609 | Moreno Therapy, PC, LLC | Counselor | 2620 N 132nd Ave, Omaha, NE 68164-4023 | 2020-05-12 |
| 1992334494 | Benjamin Daniel Wright | Counselor | 6206 S 37th St, Omaha, NE 68107-3840 | 2020-04-06 |
| 1558995662 | Cord Where Science Meets Connection LLC | Counselor | 10826 Old Mill Rd Ste 103a, Omaha, NE 68154-2660 | 2020-02-27 |
| 1124652656 | Be Kind Counseling LLC | Counselor | 4917 Underwood Ave # 3, Omaha, NE 68132-2421 | 2020-02-24 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.