Active NPI
Tracy Mills Eckert, LPC, LADC
- Professional Counselor
- Canton, CT
National Provider Identifier
1154476927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 101YP2500X
- Practice address
- 59 E Hill Rd
Canton, CT 06019-2215 - Phone
- (860) 965-7500
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 101YA0400X | CT | |
| Professional Counselor | 101YP2500X | 101YP2500X | CT | Primary |
Addresses
Primary practice location
59 E Hill Rd
Canton, CT 06019-2215
Mailing address
22 Camille LN
Canton, CT 06019-2040
Phone (860) 965-7500
Other practice location 1
21 Montauk Ave
New London, CT 06320-4906
Phone (860) 271-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240223002644 | CT | Practitioner - Mental Health Counselor | 4688019193 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
59 E Hill Rd
Canton, CT 06019-2215
Phone (860) 965-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101YA0400X | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 101YP2500X | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracy Eckert LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Sound Community Services, Inc. | Past | Accepting new patients |
Locations
59 E Hill Rd
Canton, CT 06019
Phone (860) 965-7500
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/soundcommunityservices/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
- Canton, CT
- NPI 1578792826
Addiction (Substance Use Disorder), CT
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New London, CT
- NPI 1396700886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584230400000",
"number": "1154476927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CAMILLE LN",
"city": "CANTON",
"state": "CT",
"postal_code": "060192040",
"telephone_number": "860-965-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 E HILL RD",
"city": "CANTON",
"state": "CT",
"postal_code": "060192215",
"telephone_number": "860-965-7500"
}
],
"practiceLocations": [
{
"address_1": "21 Montauk Ave",
"address_purpose": "LOCATION",
"city": "New London",
"state": "CT",
"postal_code": "063204906",
"country_code": "US",
"telephone_number": "860-271-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ECKERT",
"first_name": "TRACY",
"middle_name": "MILLS",
"credential": "LPC, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2020-03-15",
"certification_date": "2020-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "101YA0400X",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "101YP2500X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2020; 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.