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

Ethan Kent Lacey

Individual provider Professional Counselor · NPI 1881302479

Ethan Kent Lacey is a Mental Health Counselor in New Brighton, Minnesota. Qualified in 2023, 3 years ago. Practices with Arden Woods Psychological Services PA, a 15-clinician group. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2022
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Practice location Address checks out

900 Long Lake Rd Ste 320
New Brighton, MN 55112-6439
Phone: (651) 482-9361
Fax: (651) 482-9888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5193 (MN)

Record details

NPI number1881302479
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 11, 2022
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address900 Long Lake Rd Ste 320, New Brighton, MN 55112-6439

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Arden Woods Psychological Services Pa — 15 clinicians
Accepts Medicare assignment Not indicated

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