Tracy Chaney Oldaker, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

103362 Issued in KY

Practice address

618 N Green St
Henderson, KY 42420-2949

Phone

(270) 826-8314

NPI assigned

Oct 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rivervalley Behavioral Health IncGroup PAC ID 4082522396, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rivervalley Behavioral Health Inc

  • Community Health Clinic/Center
  • Owensboro, KY
  • NPI 1285689711
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1104425594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1637",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423021637",
            "telephone_number": "270-689-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N GREEN ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202949",
            "telephone_number": "270-826-8314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Barrett St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "KY",
            "postal_code": "424501102",
            "country_code": "US",
            "telephone_number": "270-667-7092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDAKER",
        "first_name": "TRACY",
        "middle_name": "CHANEY",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "103362",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "103362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda O'Rear
• Ohio Valley Eye Institute
• Ohio Valley Heartcare Inc
• Ohio Valley Senior Companions
• Kristin T Okumura, P.T.
• Crystal Stone Oliver, O.D.
• Susie Ann Williams Oliver, MS, MS, RDN
• On the River Chiropractic PSC
• Deborah Onan
• Orthopaedic Associates Inc

• Professional Counselor in Henderson, KY
• Providers in Henderson, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.

Verify at the official NPI Registry.