Active NPI
Tracie Gillispie, LPC CAND.
- Professional Counselor
- Duncan, OK
National Provider Identifier
1194028183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5018
- Practice address
- 23 N 8TH St
Duncan, OK 73533-4601 - Phone
- (580) 656-0265
- NPI assigned
- Dec 13, 2010
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 5018 | OK | Primary |
Addresses
Primary practice location
23 N 8TH St
Duncan, OK 73533-4601
Mailing address
808 Palm Dr
Duncan, OK 73533-3326
Phone (580) 656-0265
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tracie@gillispiecounseling.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5018 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gillispie Family Ministries | Current | Accepting new patients | |
| Gillispie Counseling Services | Current | Accepting new patients |
Locations
23 N 8th St
Duncan, OK 73533
Phone (580) 786-0583
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.
-
- Community/Behavioral Health Agency
- Duncan, OK
- NPI 1851702252
-
- Voluntary or Charitable Agency
- Duncan, OK
- NPI 1366811457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1194028183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 PALM DR",
"city": "DUNCAN",
"state": "OK",
"postal_code": "735333326",
"telephone_number": "580-656-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 N 8TH ST",
"city": "DUNCAN",
"state": "OK",
"postal_code": "735334601",
"telephone_number": "580-656-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLISPIE",
"first_name": "TRACIE",
"credential": "LPC CAND.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-13",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "5018",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tracie@gillispiecounseling.com",
"affiliation": "N",
"address_1": "23 N 8th St",
"city": "Duncan",
"state": "OK",
"country_code": "US",
"postal_code": "735334601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Duncan, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.