IndividualActive
Phyllis Lackey, LIC PROF COUNSELOR
NPI 1174682504 · Counselor · Xenia, OH
Phyllis Lackey, LIC PROF COUNSELOR is a Counselor provider in Xenia, OH (NPI 1174682504).
Provider details
- NPI number
- 1174682504
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LIC PROF COUNSELOR
- Sex
- Female
- Sole proprietor
- No
- License
- C0003153 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
482 N Detroit St
Xenia, OH 45385
Phone: (937) 374-6010
Fax: (937) 374-6014
Street-level locationGet directions
Mailing address
76 Fordway Dr
Vandalia, OH 45377
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2007-07-08
Frequently asked questions
- What is Phyllis Lackey's NPI number?
- Phyllis Lackey's National Provider Identifier (NPI) is 1174682504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phyllis Lackey's specialty?
- Phyllis Lackey is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Phyllis Lackey located?
- Phyllis Lackey's practice location on file with NPPES is 482 N Detroit St, Xenia, OH 45385.
- What is Phyllis Lackey's phone number?
- The practice phone number listed in the NPPES registry for Phyllis Lackey is (937) 374-6010.
- Is Phyllis Lackey's NPI active?
- Yes — Phyllis Lackey's NPI (1174682504) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.