Tracy Lane Fuchs, CMHC, ASUDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3083074-6004 Issued in UT

Practice address

145 S 200 E
Lindon, UT 84042-2047

Phone

(801) 784-9455

Fax

(888) 876-2112

NPI assigned

Dec 26, 2017

Last updated

Dec 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DMDR, LLC

  dba Reflections Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Lindon, UT
  • NPI 1710376199
  NPD (past)

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1114433364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W 1200 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572607",
            "telephone_number": "801-301-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S 200 E",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840422047",
            "telephone_number": "801-784-9455",
            "fax_number": "888-876-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCHS",
        "first_name": "TRACY",
        "middle_name": "LANE",
        "name_prefix": "Mr.",
        "credential": "CMHC, ASUDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "3083074-6008",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "3083074-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING",
            "identifier": "3083074-6008",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING",
            "identifier": "3083074-6004",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Thomas Fisher, OTR/L
• Jennifer Marie Fletcher, PHD, BCBA, LBA
• Sariah Sylvia Folau, MFT
• Satchel Folender
• Brent Paul Friess, DC
• Lorraine Galvez, R.D.
• Stephanie Godfrey, FNP-C
• Cari Nicole Goyne, DMD
• Graceful Healing, Inc
• Makenna May Graff, FNP

• Mental Health Counselor in Lindon, UT
• Providers in Lindon, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.