Tracy Adam
Individual provider Active NPI Mental Health Counselor · Cedar Rapids, IA
NPI 1154962991 · NPPES record last updated Oct 2, 2019
Key facts
- NPI
- 1154962991
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 087329 (IA)
- Practice address
- 1221 Park PL NE Ste F
Cedar Rapids, IA 52402-2019 - Phone
- (319) 521-1873
- Fax
- (319) 409-8071
- NPI assigned
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lisa Ferretti Lisw LLC
Practice addresses (Care Compare)
1221 Park PL NE
Suite F
Cedar Rapids, IA 52402-2019
Phone (319) 440-0751
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220729000659 | IA | Practitioner - Clinical Social Worker | 9133501778 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa Ferretti Lisw LLC | Mental Health | Current |
Accepting new patients |
Locations
1221 Park Pl NE
Ste F
Cedar Rapids, IA 52402
Phone (319) 364-8741
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 087329 | IA | Yes |
Addresses
Primary practice location
1221 Park PL NE Ste F
Cedar Rapids, IA 52402-2019
Mailing address
1221 Park PL NE Ste F
Cedar Rapids, IA 52402-2019
Phone (319) 521-1873
Other providers in Cedar Rapids, IA
- Ahmed M. Abualfoul
- Barakat KH. M.B Aburajab Altamimi
- Reed Achenbach
- Active Lane LLC
- Acupuncture and Massage Clinic Inc
- Adams Chiropractic, LLC
- Megan Michelle Adams Rieck
- Matthieu Jove Adams
- Meghan Adams
- Reid Adams
All providers in Cedar Rapids, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.