Individual provider Active NPI

Tracy Lynn Hess, LPCC

  • Professional Counselor
  • Saint Louis Park, MN
National Provider Identifier
1083216675
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2643 Issued in MN
Practice address
7601 Wayzata Blvd
Saint Louis Park, MN 55426-1623
Phone
(612) 223-8898
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2643 MN
Professional Counselor 101YP2500X 2643 MN Primary

Addresses

Primary practice location

7601 Wayzata Blvd
Saint Louis Park, MN 55426-1623

Mailing address

7601 Wayzata Blvd
Saint Louis Park, MN 55426-1623
Phone (612) 223-8898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240109003240 MN Practitioner - Mental Health Counselor 9335590827 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2643MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado PC CurrentSince Nov 23, 2024 Accepting new patients
Care Clinics, LLC CurrentSince Jan 1, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Nov 23, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
St. Croix Psychiatric, LLC Mental Health PastSince Nov 1, 2020 Accepting new patients
Prairiecare LLC PastSince Nov 1, 2020 Accepting new patients

Locations

7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268

8980 Hudson Blvd N
Lake Elmo, MN 55042
Phone (651) 501-1467

501 N Riverfront Dr
Mankato, MN 56001
Phone (612) 223-8988

11671 Fountains Dr N
Ste 200
Maple Grove, MN 55369
Phone (763) 585-0600

204 W Franklin Ave
Minneapolis, MN 55404
Phone (612) 223-8899

310 Clifton Ave
Minneapolis, MN 55403
Phone (612) 284-2870

3601 Minnesota Dr
Ste 575
Minneapolis, MN 55435
Phone (612) 799-8975

4100 Berkshire Ln N
Ste 250
Plymouth, MN 55446

1155 Northland Dr
Saint Paul, MN 55120
Phone (612) 223-8899

7601 Wayzata Blvd
St Louis Park, MN 55426
Phone (612) 223-8899

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1083216675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 WAYZATA BLVD",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554261623",
            "telephone_number": "612-223-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 WAYZATA BLVD",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554261623",
            "telephone_number": "612-223-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2643",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis Park, MN

Sources for this page

Verify at the official NPI Registry.