Active NPI
Tracey Latimore Kenworthy, PHD
- Psychologist
- Parkesburg, PA
National Provider Identifier
1285404640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS019219
- Practice address
- 160 Cowan Rd
Parkesburg, PA 19365-2109 - Phone
- (302) 428-9487
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS019219 | PA | Primary |
Addresses
Primary practice location
160 Cowan Rd
Parkesburg, PA 19365-2109
Mailing address
108 Tyler Dr.
Coatesville, PA 19320-2109
Phone (302) 615-1996
Other names 1
- Tracey Georgianna Latimore
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS019219 | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLK Counseling, LLC | Psychologist | Current | Accepting new patients |
Locations
160 Cowan Rd
Parkesburg, PA 19365
Phone (302) 428-9487
Organizations & group practices 1
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.
-
- Psychologist
- Parkesburg, PA
- NPI 1992576904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1285404640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 TYLER DR.",
"city": "COATESVILLE",
"state": "PA",
"postal_code": "193202109",
"telephone_number": "302-615-1996",
"fax_number": "484-786-4796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 COWAN RD",
"city": "PARKESBURG",
"state": "PA",
"postal_code": "193652109",
"telephone_number": "302-428-9487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENWORTHY",
"first_name": "TRACEY",
"middle_name": "LATIMORE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS019219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACEY",
"last_name": "LATIMORE",
"middle_name": "GEORGIANNA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Parkesburg, PA
- Jacquelyne Joyce
- Vicki Sue Junkins, PHARMACIST
- Jessica Kaczinski, PHARM D.
- Jessica Kaplowitz
- Steven J Kattler, DPM
- Keystone Valley Fire Department
- Lancaster General Hospital (Parkesburg Outpatient Center)
- Lancaster General Hospital (Lancaster General Health Physicians Trauma & Acute Care Surgery)
- Lancaster General Medical Group
- Lancaster General Medical Group (Penn Medicine LGHP Podiatry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.