Organization Active NPI

Tracey L Ross LMHC LLC

  • Adult Mental Health Clinic/Center
  • Watertown, MA
National Provider Identifier
1063154995
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TRACEY L ROSS LMHC LLC
Practice address
22 Mount Auburn St
Watertown, MA 02472-3992
Phone
(781) 929-5616
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Tracey Ross
Title
Member
Phone
(781) 929-5616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

22 Mount Auburn St
Watertown, MA 02472-3992

Mailing address

15 Main St Unit 237
Watertown, MA 02472-4403

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063154995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAIN ST UNIT 237",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MOUNT AUBURN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723992",
            "telephone_number": "781-929-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY L ROSS LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2025-09-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "781-929-5616"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.