Active NPI
Tracy Marie Metz, CDP
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1063789725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61250557
- Practice address
- 7600 NE 41St St Ste 200
Vancouver, WA 98662-6772 - Phone
- (360) 512-3856
- NPI assigned
- Nov 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61250557 | WA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP 60233655 | WA |
Addresses
Primary practice location
7600 NE 41St St Ste 200
Vancouver, WA 98662-6772
Mailing address
12821 NE 43Rd Cir
Vancouver, WA 98682-6492
Phone (360) 901-3699
Other practice location 1
7507 NE 51st St
Vancouver, WA 98662-6007
Phone (360) 906-1190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP 60233655 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| MC61250557 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1063789725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12821 NE 43RD CIR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986826492",
"telephone_number": "360-901-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 NE 41ST ST STE 200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626772",
"telephone_number": "360-512-3856"
}
],
"practiceLocations": [
{
"address_1": "7507 NE 51st St",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986626007",
"country_code": "US",
"telephone_number": "360-906-1190",
"fax_number": "360-906-1193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "METZ",
"first_name": "TRACY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-23",
"last_updated": "2022-10-25",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61250557",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP 60233655",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.