Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255609954 Individual Practitioner Female Practitioner

Lacey L Kinzer , MS, LPC

Counselor • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Lacey Kinzer, MS, LPC is a registered healthcare professional specializing in Counselor in Springfield, MO. Practice services are available at 1300 E BRADFORD PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1300 E Bradford Pkwy

Springfield, MO 65804

Telephone 4177615000
Fax 4177615011
Associated Practice Facility / Clinic
🏢 Burrell, Inc. Facility NPI 1881659894

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
88 Specialists

Practicing in Springfield, MO (1111 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License MO 2010029493

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License MO 2010029493

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
497116509 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jayaprabha Lafontaine , MD

Psychiatry & Neurology - Psychiatry

NPI 1003257833

Doctor of Medicine (M.D.)

Allison Robertson , MSW, LCSW

Social Worker - Clinical

NPI 1003505579

Master of Social Work, Licensed Clinical Social Worker

Jessica Aldrich , LMSW

Social Worker - Clinical

NPI 1003636150

Licensed Master Social Worker

Dr. Charles Thomas , MD

Psychiatry & Neurology - Psychiatry

NPI 1003812074

Doctor of Medicine (M.D.)

Deirdra Harris , MS, LPC

Counselor - Professional

NPI 1013207158

Master of Science, Licensed Professional Counselor

Michael Cotter , MS, LPC

Counselor - Professional

NPI 1013427657

Master of Science, Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated March 22, 2019

Recorded as LACEY KINZER, MS, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2019

Counselor (License #2010029493 in MO)

📍
Updated Practice Location November 26, 2018

Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804 (Tel: 4177615000)

📍
Updated Business Mailing Address November 26, 2018

Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)

👤
Provider Name / Credentials Updated November 26, 2018

Recorded as LACEY KINZER, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2018

Counselor (License #2010029493 in MO)

NPI Profile Active December 08, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2011

Registered at 1916 S BRYSON CIR, SPRINGFIELD, MO 658077862 (Tel: 4175766671)

📍
Updated Business Mailing Address December 08, 2011

Registered at 1916 S BRYSON CIR, SPRINGFIELD, MO 658077862

👤
Provider Name / Credentials Updated December 08, 2011

Recorded as LACEY YORK-SHUMAKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2011

Counselor (License #2010029493 in MO)

🟢
Initial NPI Registration & Enumeration December 08, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255609954
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2011
Last Update: August 07, 2019
Sole Proprietor: No

Mailing Address

1300 E Bradford Pkwy

Springfield, MO 658044264

Phone: 4177615000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.