Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Christopher Lacy, LMHC

Individual provider Mental Health Counselor · NPI 1336868280

Derek Christopher Lacy, LMHC is a Mental Health Counselor in Providence, Rhode Island. Qualified in 2022, 4 years ago. Licensed in Rhode Island.

Years since qualifying
4
Licensed in
RI
In the registry since
2022
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

530 N Main St
Providence, RI 02904-5762
Phone: (401) 455-6528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MHC01887 (RI)

Record details

NPI number1336868280
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorNo
NPI enumeratedAugust 24, 2022
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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