Organization Active NPI

Tracie B Goodspeed, LLC

  • Professional Counselor
  • Muskogee, OK
National Provider Identifier
1184993297
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4461 Issued in OK
Legal business name
TRACIE B GOODSPEED, LLC
Practice address
3941 S 1St St W
Muskogee, OK 74401-8915
Phone
(918) 687-3730
NPI assigned
Dec 19, 2011
Last updated
Dec 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Tracie B Goodspeed, M.ED., LPCNPI 1265683403
Title
Owner
Phone
(918) 687-3730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4461 OK Primary

Addresses

Primary practice location

3941 S 1St St W
Muskogee, OK 74401-8915

Mailing address

3941 S 1St St W
Muskogee, OK 74401-8915
Phone (918) 687-3730

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1184993297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 S 1ST ST W",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744018915",
            "telephone_number": "918-687-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 S 1ST ST W",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744018915",
            "telephone_number": "918-687-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACIE B GOODSPEED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "GOODSPEED",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-687-3730",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.