Tracy Jensen, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1300 Old Plank Rd
Mayfield, PA 18433-1973

Phone

(570) 281-6222

NPI assigned

Nov 27, 2023

Sex

Female

Sole proprietor

Yes

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 PA

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Willow Haven Counseling LLC

  • Professional Counselor
  • Blakely, PA
  • NPI 1588404099

  PA, Professional

  Medicare reassignment NPD Authorized official
• B-K Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hallstead, PA
  • NPI 1245272707
  NPD
• B-K Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Montrose, PA
  • NPI 1619352978
  NPD
• B-K Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenfield Township, PA
  • NPI 1952801037
  NPD

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1144096751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 HEMLOCK ST",
            "city": "JERMYN",
            "state": "PA",
            "postal_code": "184331205",
            "telephone_number": "814-232-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OLD PLANK RD",
            "city": "MAYFIELD",
            "state": "PA",
            "postal_code": "184331973",
            "telephone_number": "570-281-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25066 State Route 11",
            "address_purpose": "LOCATION",
            "city": "Hallstead",
            "state": "PA",
            "postal_code": "188228816",
            "country_code": "US",
            "telephone_number": "570-879-5249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "TRACY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016403",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian P Gratz, MA, NCC, LAPC
• Amanda Victoria Greer-Arthur, CRNP
• Magdalena Hallowell, MS, LPC
• Lindsay Patricia Hickey, NCC
• Marissa Jean Ivanko
• Ellen P Kelly, RPH
• Lakeland Chiropractic P.C.
• Peterjason Ligi, RDN, LDN
• Linde McDonough, LPC
• Erin McGrady, MS, LPC

• All providers in Mayfield, PA
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.