Tracy Lynn Smith, LPC, NCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37PC00410000 Issued in NJ

Practice address

152 Washington Ave
Matawan, NJ 07747-2946

Phone

(732) 668-2064

NPI assigned

Dec 6, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tracy Lynn Seiden Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stress Care Medical Group

  • Internal Medicine Physician
  • Manalapan, NJ
  • NPI 1386270890
  NPD (past)

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1093018533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 WASHINGTON AVE",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472946",
            "telephone_number": "732-668-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 WASHINGTON AVE",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472946",
            "telephone_number": "732-668-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37PC00410000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "SEIDEN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beth Ann Smith, SPEECH THERAPIST
• Charles Ethan Smith
• Kinsey Smith
• Mark D Smith, DC
• Nicole Smith, RBT
• Rakeeda Sneed
• Jennifer Solar
• Sollecito Chiropractic LLC
• Barbara A. Sollecito, D.C.
• Jin Woo Song, DMD

• Marriage & Family Therapist in Matawan, NJ
• Providers in Matawan, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.