Active NPI
Tracey Ann Durkin, MA, LPC, NCC
- Professional Counselor
- Erie, PA
National Provider Identifier
1134587215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008450
- Practice address
- 3806 Greengarden Rd
Erie, PA 16509-1117 - Phone
- (814) 572-0127
- Fax
- (814) 451-0338
- NPI assigned
- Feb 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC008450 | PA | Primary |
Addresses
Primary practice location
3806 Greengarden Rd
Erie, PA 16509-1117
Mailing address
3806 Greengarden Rd
Erie, PA 16509-1117
Phone (814) 572-0127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309938 | Other | PA | NATIONAL CERTIFIED COUNSELOR |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC008450 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracey Ann Durkin Professional Corporation | Professional | Current | Accepting new patients |
| Dr Gertrude a Barber Center Inc | Past | Accepting new patients |
Locations
3806 Greengarden Rd
Erie, PA 16509
Phone (814) 572-0127
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/barberinstitute/r4/
Organizations & group practices 2
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.
-
- Professional Counselor
- Erie, PA
- NPI 1629622279
-
- Clinic/Center
- Erie, PA
- NPI 1063571750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1134587215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3806 GREENGARDEN RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165091117",
"telephone_number": "814-572-0127",
"fax_number": "814-451-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3806 GREENGARDEN RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165091117",
"telephone_number": "814-572-0127",
"fax_number": "814-451-0338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURKIN",
"first_name": "TRACEY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MA, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFIED COUNSELOR",
"identifier": "309938",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.