Tracy Meyer, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC13991

Practice address

512 Fountain Dr
Linthicum Heights, MD 21090-2020

Phone

(443) 722-9957

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Mid Atlantic Trauma Recovery Center, LLC

  • Adult Mental Health Clinic/Center
  • Baltimore, MD
  • NPI 1417735820

  MD

  Medicare reassignment NPD Authorized official
• Lutheran Mission Society of Maryland

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1861749319

  MD

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1225704232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 FOUNTAIN DR",
            "city": "LINTHICUM HEIGHTS",
            "state": "MD",
            "postal_code": "210902020",
            "telephone_number": "443-722-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 FOUNTAIN DR",
            "city": "LINTHICUM HEIGHTS",
            "state": "MD",
            "postal_code": "210902020",
            "telephone_number": "443-722-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "TRACY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP11678",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "LC13991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Medical Supply Inc
• Medstar Health Weight Management, LLC
• Medstar Health Weight Management, LLC
• Medstar Health Weight Management, LLC
• Ariana Meinster, LMSW
• Micasa Sucasa
• Monarch Behavioral Therapy Bii, LLC
• Emmanoela Mugha, HHA
• Dalila L Muir
• Jude Cabatingan Muneses, MD

• All providers in Linthicum Heights, MD
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.

Verify at the official NPI Registry.