Tracie B Goodspeed, M.ED., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1305 S Country Club Rd
Muskogee, OK 74403-7802

Phone

(918) 668-5588

Fax

(918) 686-6885

NPI assigned

Oct 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

Practice roles

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.

• Tracie B Goodspeed, LLC

  • Professional Counselor
  • Muskogee, OK
  • NPI 1184993297
  NPD (past) Authorized official

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1265683403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 S 1ST ST W",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744018915",
            "telephone_number": "918-687-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S COUNTRY CLUB RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744037802",
            "telephone_number": "918-668-5588",
            "fax_number": "918-686-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSPEED",
        "first_name": "TRACIE",
        "middle_name": "B",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Allen Gonser, NP
• Lazaro Gonzales, PAC
• Rebecca K Gonzales
• Heather Lea Ann Goodnight, DENTAL HYGIENIST
• Jessica Goodnight, RN
• Kandi Goodwin
• Alanda Dawn Gordon
• Roy G Gordon Jr.
• Amy Marie Gorman, RN
• Aubree F Goss, M.S. CF-SLP

• Mental Health Counselor in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.