Tracy Dunlap, LSCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3242 Issued in NE

Practice address

6220 Blue Ridge Cut Off Ste 312
Raytown, MO 64133-3730

Phone

(816) 591-6266

Fax

(816) 313-0764

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark Twain Association for Mental Health, Inc.

  • Community/Behavioral Health Agency
  • Hannibal, MO
  • NPI 1700933363
  Medicare reassignment NPD
• Dunlap and Associates Counseling Services LLC

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1427360460
  NPD (past) Authorized official
• Mark Twain Association for Mental Health, Inc

  • Community/Behavioral Health Agency
  • Hannibal, MO
  • NPI 1104368703
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1013946581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15812 E 77TH PL",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641391296",
            "telephone_number": "816-591-6266",
            "fax_number": "816-817-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 BLUE RIDGE CUT OFF STE 312",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641333730",
            "telephone_number": "816-591-6266",
            "fax_number": "816-313-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "TRACY",
        "name_prefix": "Mr.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2003028464",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "32886013",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098010",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DLC Labs KC LLC
• Tina R. Dodson, L.P.N. / L.P.C.
• Thomas Andrew Dougherty, PHARMD
• Douglas E. Harshberger, DDS, PC
• Melissa Duke
• Zoe Dunning
• Barbara S Durbin, OTR/L
• Nolan Ray Dyer
• Dynamic Adult Daycare Inc
• Jeanne Marie Earnest, MS

• Mental Health Counselor in Raytown, MO
• Providers in Raytown, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.