Tracey Moulton, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH23302 Issued in FL

Practice address

14645 NW 77TH Ave Ste 101
Miami Lakes, FL 33014-2569

Phone

(833) 769-3524

NPI assigned

May 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• Ruth & Norman Rales Jewish Family Services Inc

  • Clinical Social Worker
  • Boca Raton, FL
  • NPI 1063476976

  Mental Health

  Medicare reassignment NPD
• Toby and Leon Cooperman Therapy and Family Resource Center

  • Occupational Therapist
  • Boca Raton, FL
  • NPI 1982352092

  Behavior Technician

  NPD
• Total Spectrum, LLC

  • Behavior Analyst
  • Elmhurst, IL
  • NPI 1922423177
  NPD (past)

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1043876758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W GRAND AVE STE 207",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261025",
            "telephone_number": "844-263-1613",
            "fax_number": "844-263-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14645 NW 77TH AVE STE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142569",
            "telephone_number": "833-769-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 W Grand Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601261025",
            "country_code": "US",
            "telephone_number": "844-263-1613",
            "fax_number": "844-263-1612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "TRACEY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23302",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "19-76571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niurka Moreno
• Maribel Morfi Caso, MSN /FNP/ARNP
• Thomas Bernard Morrissey, M.D.
• Diliana Mota Campos
• Priscilla Motta
• Ms Alliance Health Group Corp
• Ms Medical Enterprises Inc.
• MSG Dental LLC
• Sibdas Mukherjee Mukhopadhyay, M.D.
• Stephanie Mulligan

• Mental Health Counselor in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.