Tracie Beltran

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC-0000588 Issued in DE

Practice address

590 Naamans Rd
Claymont, DE 19703-2308

Phone

(302) 442-6194

Fax

(302) 442-6940

NPI assigned

May 13, 2020

Last updated

May 13, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1245852250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 S DUPONT HWY STE 105",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014401",
            "telephone_number": "302-442-6194",
            "fax_number": "302-442-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 NAAMANS RD",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032308",
            "telephone_number": "302-442-6194",
            "fax_number": "302-442-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAN",
        "first_name": "TRACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0000588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tbeltran@connectionscsp.org",
            "affiliation": "N",
            "address_1": "590 Naamans Rd",
            "city": "Claymont",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197032308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Claymont, DE
• Providers in Claymont, DE by specialty
• Mental Health Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.