Active NPI
Tracey Walters LLC
- Community/Behavioral Health Agency
- Inglewood, CA
National Provider Identifier
1063397149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TRACEY WALTERS LLC
- Practice address
- 614 W Manchester Blvd # 201-202
Inglewood, CA 90301-1656 - Phone
- (323) 363-2069
- NPI assigned
- Aug 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tracey Walters
- Title
- Peer Support Specialist
- Phone
- (323) 363-2069
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
614 W Manchester Blvd # 201-202
Inglewood, CA 90301-1656
Mailing address
PO Box 882588
Los Angeles, CA 90009-3626
Phone (323) 363-2069
Other names 1
- Peer Support Specialist
National Provider Directory
National Provider DirectoryLocations
614 W Manchester Blvd
#201202
Inglewood, CA 90301
Phone (323) 363-2069
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Peer Specialist
- Inglewood, CA
- NPI 1831044387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754611200000",
"number": "1063397149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 882588",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900093626",
"telephone_number": "323-363-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 W MANCHESTER BLVD # 201-202",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011656",
"telephone_number": "323-363-2069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRACEY WALTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-08",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A",
"authorized_official_last_name": "WALTERS",
"authorized_official_first_name": "TRACEY",
"authorized_official_title_or_position": "PEER SUPPORT SPECIALIST",
"authorized_official_telephone_number": "323-363-2069",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peer Support Specialist",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.