Tracey Dove Powell, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701005549 Issued in VA

Practice address

44355 Premier PLZ
Suite 120
Ashburn, VA 20147-5049

Phone

(703) 655-4869

NPI assigned

Aug 27, 2011

Last updated

Sep 3, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: granatogroup.traceypowell@144557.advancedmd-direct.com

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

{
    "created_epoch": "1314403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1194005637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44355 PREMIER PLZ",
            "address_2": "SUITE 120",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475049",
            "telephone_number": "703-655-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44355 PREMIER PLZ",
            "address_2": "SUITE 120",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475049",
            "telephone_number": "703-655-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TRACEY",
        "middle_name": "DOVE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-27",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolas Pablo Posa, PT, DPT
• Potomac Medical Equipment
• Potomac Psychological Center, LLC
• Neha Potphode, BEHAVIOR TECHNICIAN
• Katie Elizabeth Pounder
• Annie Pratt, PA-C
• Premier Dermatology, P.C.
• Premier Health Consultants of Northern Virginia Inc
• Premier Oral Facial & Implant Surgery LLC (Premier Oral Facial & Implant Surgery)
• Nana Akosua Prempeh, NP

• Mental Health Counselor in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.