LACEY BASS NPI 1316705171

NPI Information

  • NPI: 1316705171
  • Provider Name: LACEY BASS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2250 LAKE AVE STE 100
    FORT WAYNE, IN
    ZIP 46805
  • Phone: (260) 543-0009

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NPI Details

Lacey Bass is a mental health counselor in Fort Wayne, IN. Lacey Bass NPI is 1316705171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2250 LAKE AVE STE 100
FORT WAYNE, IN
ZIP 46805-352
Phone: (260) 543-0009

The enumeration date for this NPI number is 3/7/2024 and was last updated on 3/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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