Individual provider Active NPI

Tracy Kay Lemar

  • Professional Counselor
  • West Fargo, ND
National Provider Identifier
1255157160
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13138123657 Issued in ND
Practice address
1401 13TH Ave E
West Fargo, ND 58078-3468
Phone
(701) 364-0060
Fax
(701) 364-0065
NPI assigned
Nov 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC04927 MN
Professional Counselor 101YP2500X 13138123657 ND Primary

Addresses

Primary practice location

1401 13TH Ave E
West Fargo, ND 58078-3468

Mailing address

1401 13TH Ave E
West Fargo, ND 58078-3468
Phone (701) 364-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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

Enrollment IDStateProvider typePAC IDDetails
I20251015003945 ND Practitioner - Mental Health Counselor 1557858206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knowlton O'Neill and Associates PCGroup PAC ID 7214924679, 10 clinicians

Practice addresses (Care Compare)

1401 13TH Ave E
West Fargo, ND 58078-3402
Phone (701) 364-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC04927MNMDProfessional Counselor
13138123657NDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie Family Services, PLLP CurrentSince Jan 12, 2025 Accepting new patients
Nystrom & Associates, LTD CurrentSince Apr 13, 2026 Accepting new patients
Knowlton, O'Neill & Associates, P.C. CurrentSince Aug 1, 2025 Accepting new patients

Locations

819 30th Ave S
Ste 208
Moorhead, MN 56560
Phone (218) 833-9107

1401 13th Ave E
West Fargo, ND 58078
Phone (701) 364-0060

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1255157160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 13TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783468",
            "telephone_number": "701-364-0060",
            "fax_number": "701-364-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 13TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783468",
            "telephone_number": "701-364-0060",
            "fax_number": "701-364-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMAR",
        "first_name": "TRACY",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC04927",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "13138123657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

Verify at the official NPI Registry.