Tracy Marie Bennett, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2007025528 Issued in MO

Practice address

115 S Sycamore St
Gardner, KS 66030-1348

Phone

(816) 716-1278

Fax

(913) 938-5261

NPI assigned

Mar 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tracy Marie Fox, Evrard Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Soothing Hearts Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Gardner, KS
  • NPI 1154991826
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1033380274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28221 W 162ND ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660308516",
            "telephone_number": "816-716-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S SYCAMORE ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301348",
            "telephone_number": "816-716-1278",
            "fax_number": "913-938-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "TRACY",
        "middle_name": "MARIE",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-16",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2007025528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracy@soothingheartscounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "general information",
            "address_1": "115 S Sycamore St",
            "city": "Gardner",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660301348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "FOX, EVRARD",
            "middle_name": "MARIE",
            "credential": "M.A., LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Andrew Baxter, DDS
• Beals Dialysis LLC
• Beck Chiropractic Center LLC
• Aaron R Beck, D.C.
• Aubrey Bender, PT, DPT
• Elizabeth Caitlin Berube
• Sandra Billinger
• Amy Michelle Bokelman, PHARMD
• Boyajian Inc
• Sam H. Boyajian, RPH

• Professional Counselor in Gardner, KS
• Providers in Gardner, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.