LACEY WISE (NPI# 1750831806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750831806 |
| Entity Type | Individual |
| Full Name | LACEY WISE |
| Credential | CADC-II |
| Practice Address |
1530 3rd St Ste 111 Lincoln CA 95648-2501 |
| Practice Telephone | 9168840015 |
| Mailing Telephone | 9168840015 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A057120520 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154830677 | Lacey Wise | Physical Therapist | 685 36th Ave Ne, Salem, OR 97301-4741 | 2017-09-27 |
| Street Address |
1530 3RD ST STE 111 |
| City | LINCOLN |
| State | CA |
| Zip Code | 95648-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185714 | Kathryn D Horton | Counselor | 1530 3rd St Ste 111, Lincoln, CA 95648-2501 | 2020-08-19 |
| 1013453299 | Barbara Rudolph | Counselor | 1530 3rd St Ste 111, Lincoln, CA 95648-2501 | 2017-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125460 | Mary Anne Leavell | Technician | 2010 Hwy. 193, Lincoln, CA 95648 | 2019-10-14 |
| 1184144487 | Nicolas Sean Losenicky | Non-emergency Medical Transport (VAN) | 818 Equinox Loop, Lincoln, CA 95648 | 2017-06-27 |
| 1437587946 | Sakura Moua | Pharmacist | 950 Groveland Lane, Target Pharmacy, Lincoln, CA 95648 | 2013-10-18 |
| 1154698132 | Donald R Myers | Pharmacist | 405 South Highway 65, Lincoln, CA 95648 | 2011-11-19 |
| 1568757110 | Bryan Lee | Dentist | 1510 Del Webb Blvd Ste B106, Lincoln, CA 95648 | 2011-06-11 |
| 1881901437 | Irene Bailon Hermo | Dentist | 831 Sterling Parkway Suite 130, Lincoln, CA 95648 | 2010-09-02 |
| 1851424501 | Maria Eloisa B Espiritu | Dentist | 2295 Fieldstone Drive, Suite 240, Lincoln, CA 95648 | 2007-03-13 |
| 1184752966 | Eireann Elizabeth Smith | Marriage & Family Therapist | 110 Gateway Oaks Drive, Suite 210, Lincoln, CA 95648 | 2007-03-01 |
| 1407982697 | Lincoln Internal Medicine, A Medical Corp. | Internal Medicine | 801 Sterling Parkway #120, Suite D, Lincoln, CA 95648 | 2007-02-24 |
| 1073656518 | Paul Ernest Denzler | Dentist | 588 First St., Lincoln, CA 95648 | 2007-02-15 |
| Find all providers in zip 95648 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352579 | Kendra Bishop | Counselor | 2109 S 24th St, Lincoln, NE 68502-4002 | 2020-10-02 |
| 1992320980 | Eric Johnson LLC | Counselor | 301 S 70th St Ste 313, Lincoln, NE 68510-2469 | 2020-06-15 |
| 1730712977 | Justin Michael Antons | Counselor | 127 S 37th St Ste B, Lincoln, NE 68510-1502 | 2020-02-17 |
| 1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
| 1639713324 | Eric Andrew Johnson | Counselor | 301 S 70th St # 313, Lincoln, NE 68510-2469 | 2019-11-05 |
| 1285285379 | Victoria Brock | Counselor | 5351 Colby St, Lincoln, NE 68504-3044 | 2019-09-20 |
| 1912553199 | Christopher Wayne Jobman | Counselor | 2554 Sw 19th St, Lincoln, NE 68522-2455 | 2019-08-14 |
| 1942865399 | Jennifer Michelle Rokeby-mayeux | Counselor | 1231 North 38th Street, Lincoln, NE 68504 | 2019-05-01 |
| 1194207142 | Stephanie Delgado | Counselor | 1640 Lake Street, Lincoln, NE 68502 | 2018-09-05 |
| 1568968048 | Gary Chalon Moon | Counselor | 385 Lilac Ln, Lincoln, CA 95648-8165 | 2018-04-03 |
| Find all providers in LINCOLN | ||||
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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.