Tracy Gilchrist – Counselor in Dorchester, MA

Key facts

NPI: 1164041091
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
Practice address: 56 Evans St
Dorchester, MA 02124-4325
Phone: (617) 774-7481
NPI assigned: Apr 10, 2020
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Interoperability endpoints

Direct secure messaging: tracy.f@childandfamilywellnesscenter.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor Group: 193400000X SINGLE SPECIALTY GROUP	101Y00000X			Yes

Addresses

Primary practice location

56 Evans St
Dorchester, MA 02124-4325

Mailing address

56 Evans St
Dorchester, MA 02124-4325
Phone (617) 774-7481

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	Tracy.F@childandfamilywellnesscenter.com	Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 10, 2020.

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1164041091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 EVANS ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021244325",
            "telephone_number": "617-774-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 EVANS ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021244325",
            "telephone_number": "617-774-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILCHRIST",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tracy.F@childandfamilywellnesscenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "56 Evans St",
            "city": "Dorchester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021244325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dorchester, MA

All providers in Dorchester, MA · Counselor in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.