Individual provider Active NPI

Tracy Lynn Grothe, LIMHP, LPC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1275054553
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2246 Issued in NE
Practice address
17940 Welch PLZ Ste 106
Omaha, NE 68135-3714
Phone
(402) 960-5038
Fax
(402) 891-5081
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2246 NE Primary

Addresses

Primary practice location

17940 Welch PLZ Ste 106
Omaha, NE 68135-3714

Mailing address

16619 Bancroft St
Omaha, NE 68130-1823
Phone (402) 960-5038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Counseling Mental Health CurrentSince Apr 6, 2021 Accepting new patients
Hope and Wellness Center Past Accepting new patients

Locations

17940 Welch Plz
Ste 106
Omaha, NE 68135
Phone (402) 830-7347

11414 W Center Rd
Ste 233
Omaha, NE 68144
Phone (402) 578-1255

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.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1275054553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16619 BANCROFT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301823",
            "telephone_number": "402-960-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 WELCH PLZ STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353714",
            "telephone_number": "402-960-5038",
            "fax_number": "402-891-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTHE",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LIMHP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.