Tracie Owen

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

333 W Main St Ste 210
Ardmore, OK 73401-6320

Phone

(580) 224-2929

NPI assigned

Dec 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Lynch Family Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ardmore, OK
  • NPI 1568722379
  NPD (past)

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1124534565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 S ROCKFORD RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W MAIN ST STE 210",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016320",
            "telephone_number": "580-224-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "TRACIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Joe Oshields, CASE MANAGER
• Osu Center for Health Sciences
• Osu Center for Health Sciences
• Bailey Overstreet
• Curtis Ray Owen, M.ED.
• Kenna R Owens
• Rick L Owens Jr.
• Ashli Page
• Jacob Palmer, CRNA
• Bidhya Pandey

• Counselor in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.