Active NPI
Tracy Treacy, M.S,, LPC, CADC-1
- Mental Health Counselor
- Milwaukee, WI
National Provider Identifier
1114066552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2555-125
- Practice address
- 2568 N Dr Martin Luther King Dr
Milwaukee, WI 53212-2710 - Phone
- (414) 265-0300
- Fax
- (414) 265-0200
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2555-125 | WI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2555125 | WI | |
| Mental Health Counselor | 101YM0800X | 2555-125 | WI | Primary |
Addresses
Primary practice location
2568 N Dr Martin Luther King Dr
Milwaukee, WI 53212-2710
Mailing address
2568 N Dr Martin Luther King Dr
Milwaukee, WI 53212-2710
Phone (414) 265-0300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2161 | Other | WI | PROVIDER # WISER CHOICE |
| 43585300 | Medicaid | WI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2555-125 | WI | MD | Counselor |
| 2555125 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D & S Healing Center | Counselor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Milwaukee, WI
- NPI 1790010718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1114066552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2568 N DR MARTIN LUTHER KING DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532122710",
"telephone_number": "414-265-0300",
"fax_number": "414-265-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2568 N DR MARTIN LUTHER KING DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532122710",
"telephone_number": "414-265-0300",
"fax_number": "414-265-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREACY",
"first_name": "TRACY",
"credential": "M.S,, LPC, CADC-1",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "2555-125",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "2555125",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "2555-125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER # WISER CHOICE",
"identifier": "2161",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43585300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.