Tracie Maille, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC008836 Issued in PA

Practice address

1513 Cedar Cliff Dr Ste 200
Camp Hill, PA 17011-7721

Phone

(484) 509-1079

Fax

(844) 287-5389

NPI assigned

Apr 10, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seasons of Hope and Healing, LLC

  • Counselor
  • Camp Hill, PA
  • NPI 1093574436
  NPD Authorized official

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

{
    "created_epoch": "1460246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1275997819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 CEDAR CLIFF DR STE 200",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117721",
            "telephone_number": "484-509-1079",
            "fax_number": "844-287-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 CEDAR CLIFF DR STE 200",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117721",
            "telephone_number": "484-509-1079",
            "fax_number": "844-287-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILLE",
        "first_name": "TRACIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-10",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sothea Mah, RN, BSN
• Akashdeep Kaur Mahal
• Ashley Hope Mahdavi, LPC
• Britney Maike, RN
• Rachel Mailey, MS, LPC
• Salman Majeed, M.D
• Madison A Major, PA-C
• Olga Makaruk, RN
• Marianna Makowski Tumasz
• Shannon Elizabeth Makujina

• Professional Counselor in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.