Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548731789 Individual Practitioner Male Practitioner

Michael Lacy

Peer Specialist • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Michael Lacy is a registered healthcare professional specializing in Peer Specialist in Edmond, OK. Practice services are available at 4104 SHILOH VALLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4104 Shiloh Valley Rd

Edmond, OK 730346912

Telephone 4054820313

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
82 Specialists

Practicing in Edmond, OK (5280 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Alec Peterson

Peer Specialist

NPI 1992279756

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2018

Registered at 4104 SHILOH VALLEY RD, EDMOND, OK 730346912 (Tel: 4054820313)

📍
Updated Business Mailing Address December 16, 2018

Registered at 4104 SHILOH VALLEY RD, EDMOND, OK 730346912 (Tel: 4054820313)

👤
Provider Name / Credentials Updated December 16, 2018

Recorded as MICHAEL LACY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2018

Peer Specialist

🟢
Initial NPI Registration & Enumeration December 16, 2018

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: 1548731789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2018
Last Update: December 16, 2018
Sole Proprietor: Yes

Mailing Address

4104 Shiloh Valley Rd

Edmond, OK 730346912

Phone: 4054820313

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.