Tracy Diane Tacquard, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC38834 Issued in CA

Practice address

1504 Pebble Bay CT
Granbury, TX 76048-1238

Phone

(951) 764-0537

Fax

(951) 848-9416

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Trauma and Recovery Solutions, Inc.

  • Marriage & Family Therapist
  • Granbury, TX
  • NPI 1487125621
  NPD Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1154471530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 PEBBLE BAY CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481238",
            "telephone_number": "951-764-0537",
            "fax_number": "951-848-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 PEBBLE BAY CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481238",
            "telephone_number": "951-764-0537",
            "fax_number": "951-848-9416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28991 Old Town Front St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925902858",
            "country_code": "US",
            "telephone_number": "951-764-0537",
            "fax_number": "951-848-9416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACQUARD",
        "first_name": "TRACY",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC38834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT MENTAL HEALTH",
            "identifier": "1154471530",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waraphan Sumetawenunt
• Andrea R Sutton
• Mason Trae Sweatt, MA LPC
• Cynthia Marie Elizabeth Taber, MD
• Renee Tabuena, FNP-C
• Tarrant Womens Health Medical Group, P.a.
• Taryn J. Turner, DO, PA
• John David Tate Jr., PHARMACIST
• Jessica Taylor
• Ashley Rene Tello, D.D.S.

• Marriage & Family Therapist in Granbury, TX
• Providers in Granbury, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.