Individual provider Active NPI

Tracey Leigh Burnett-Greenup, LPC

  • Mental Health Counselor
  • League City, TX
National Provider Identifier
1073284022
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
83675 Issued in TX
Practice address
2041 Pembroke Bay Dr
League City, TX 77573-3937
Phone
(713) 542-6424
NPI assigned
Sep 21, 2021
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 83675 TX Primary

Addresses

Primary practice location

2041 Pembroke Bay Dr
League City, TX 77573-3937

Mailing address

2041 Pembroke Bay Dr
League City, TX 77573-3937
Phone (713) 542-6424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20251208003343 TX Practitioner - Mental Health Counselor 5890142806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2041 Pembroke Bay Dr
League City, TX 77573-3937

614 Kipling St
Apt 2
Houston, TX 77006-4437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
83675TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Council on Recovery Mental Health CurrentSince Nov 7, 2025 Accepting new patients

Locations

303 Jackson Hill St
Houston, TX 77007
Phone (281) 200-9120

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/councilonrecovery/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1073284022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 PEMBROKE BAY DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733937",
            "telephone_number": "713-542-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 PEMBROKE BAY DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733937",
            "telephone_number": "713-542-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT-GREENUP",
        "first_name": "TRACEY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.