Active NPI
Leslie Tracey, LCPC
- Mental Health Counselor
- Hamilton, MT
National Provider Identifier
1073747895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1400
- Practice address
- 109 N 4TH St
Suite 201
Hamilton, MT 59840-2401 - Phone
- (406) 370-5439
- NPI assigned
- May 7, 2009
- 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 | 1400 | MT | Primary |
Addresses
Primary practice location
109 N 4TH St
Suite 201
Hamilton, MT 59840-2401
Mailing address
338 Whispering Willow Way
Corvallis, MT 59828-9316
Phone (406) 370-5439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477745370 | Medicaid | MT |
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 |
|---|---|---|---|
| 1400 | MT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1073747895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 WHISPERING WILLOW WAY",
"city": "CORVALLIS",
"state": "MT",
"postal_code": "598289316",
"telephone_number": "406-370-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N 4TH ST",
"address_2": "SUITE 201",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402401",
"telephone_number": "406-370-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACEY",
"first_name": "LESLIE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "1400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477745370",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.