Active NPI 1427520188 Individual Practitioner Female Practitioner

Bethany Lackey , LPC

Counselor - Professional • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Bethany Lackey, LPC is a registered healthcare professional specializing in Counselor - Professional in Roanoke, VA. Practice services are available at 1409 GRANDIN RD SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1409 Grandin Rd Sw

Roanoke, VA 240152317

Telephone 2762242647

Associated Practice Facility / Clinic

🏢 Dorene P Fick Lcsw Llc Facility NPI 1871075978

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Roanoke, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.7 Yrs

State Avg: 14.7 Yrs

Regional Practice Density

245 Specialists

Practicing in Roanoke, VA (6609 Statewide)

Telehealth Adoption Rate

4.1% 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License VA 0701007503

Definition to come...

Practice Associates & Co-Workers

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

2 Associated Practitioners

Jessica Conway , MA, MFT

Counselor - Mental Health

NPI 1417092214

Master of Arts, Marriage and Family Therapist

Dorene Fick , LCSW-R

Social Worker - Clinical

NPI 1548479892

Licensed Clinical Social Worker - Registered

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location March 03, 2019

Registered at 1409 GRANDIN RD SW, ROANOKE, VA 240152317 (Tel: 2762242647)

✅

NPI Profile Active December 19, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location December 19, 2018

Registered at 1719 GRANDIN RD SW, ROANOKE, VA 240152815 (Tel: 5409156472)

📍

Updated Business Mailing Address December 19, 2018

Registered at 916B WINONA AVE SW, ROANOKE, VA 240155326 (Tel: 2762242647)

👤

Provider Name / Credentials Updated December 19, 2018

Recorded as BETHANY LACKEY, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2018

Counselor (License #0701007503 in VA)

🟢

Initial NPI Registration & Enumeration December 19, 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: 1427520188

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 19, 2018

Last Update: March 03, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

916b Winona Ave Sw

Roanoke, VA 240155326

Phone: 2762242647

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.