Tracy M McDonald, LPCC
Individual provider Active NPI Professional Counselor · Whitley City, KY
NPI 1003255696 · NPPES record last updated May 11, 2021
Key facts
- NPI
- 1003255696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 239923 (KY)
- Practice address
- 90 Medical LN
Whitley City, KY 42653-4216 - Phone
- (606) 376-2466
- NPI assigned
- Jun 18, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239923 | KY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 239923 | KY | Yes |
Addresses
Primary practice location
90 Medical LN
Whitley City, KY 42653-4216
Mailing address
177 Les Gilreath Road
Stearns, KY 42647
Other names
- Tracy M Johns
Other providers in Whitley City, KY
- Jessica Ann Mason
- McCreary County Judge
- McCreary County Primary Care LLC
- McCreary Medical Resources, LLC
- McCreary Primary Care Center, Inc
- Stephen M McKinley
- Santanna Morgan
- Kristina E Morrow
- Krista Brown Muse
- Dianne Neal
All providers in Whitley City, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.