Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174682504 Individual Practitioner Female Practitioner

Phyllis J Lackey , LIC PROF COUNSELOR

Counselor • Xenia, OH

Professional Overview & Biography Verified Profile Summary

Phyllis Lackey, LIC PROF COUNSELOR is a registered healthcare professional specializing in Counselor in Xenia, OH. Practice services are available at 482 N DETROIT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

482 N Detroit St

Xenia, OH 45385

Telephone 9373746010
Fax 9373746014
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Xenia, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Xenia, OH (4163 Statewide)

Telehealth Adoption Rate
3.0% 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 OH C0003153

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 482 N DETROIT ST, XENIA, OH 45385 (Tel: 9373746010)

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Updated Business Mailing Address July 08, 2007

Registered at 76 FORDWAY DR, SUITE 2, VANDALIA, OH 45377 (Tel: 9378903139)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PHYLLIS LACKEY, LIC PROF COUNSELOR

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #C0003153 in OH)

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Initial NPI Registration & Enumeration December 08, 2006

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: 1174682504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

76 Fordway Dr, Suite 2

Vandalia, OH 45377

Phone: 9378903139

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.