Active NPI
Tracey Leigh Burnett-Greenup, LPC
- Mental Health Counselor
- League City, TX
National Provider Identifier
1073284022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 83675
- Practice address
- 2041 Pembroke Bay Dr
League City, TX 77573-3937 - Phone
- (713) 542-6424
- NPI assigned
- Sep 21, 2021
- Last updated
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 83675 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Council on Recovery | Mental Health | Current | Accepting new patients |
Locations
303 Jackson Hill St
Houston, TX 77007
Phone (281) 200-9120
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.