Individual provider Active NPI

Tracy L Halle, LMHC

  • Mental Health Counselor
  • Middleboro, MA
National Provider Identifier
1144759820
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10167 Issued in MA
Practice address
165 E Grove St Ste B
Middleboro, MA 02346-2737
Phone
(800) 273-6277
Fax
(888) 978-4883
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10167 MA Primary

Addresses

Primary practice location

165 E Grove St Ste B
Middleboro, MA 02346-2737

Mailing address

165 E Grove St Ste B
Middleboro, MA 02346-2737
Phone (800) 273-6277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 28, 2025 through May 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10167MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psyched Group, LLC Mental Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1144759820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E GROVE ST STE B",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462737",
            "telephone_number": "800-273-6277",
            "fax_number": "888-978-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E GROVE ST STE B",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462737",
            "telephone_number": "800-273-6277",
            "fax_number": "888-978-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLE",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

Verify at the official NPI Registry.