Active NPI
Tracey Leigh Fleniken, LPC
- Mental Health Counselor
- Gainesville, TX
National Provider Identifier
1295756229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18411
- Practice address
- 115 N Commerce St
Gainesville, TX 76240-3911 - Phone
- (940) 665-8056
- Fax
- (940) 665-8057
- NPI assigned
- Jul 23, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18411 | TX | Primary |
Addresses
Primary practice location
115 N Commerce St
Gainesville, TX 76240-3911
Mailing address
PO Box 173
Saint Jo, TX 76265-0173
Phone (469) 387-9528
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18411 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295756229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173",
"city": "SAINT JO",
"state": "TX",
"postal_code": "762650173",
"telephone_number": "469-387-9528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N COMMERCE ST",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762403911",
"telephone_number": "940-665-8056",
"fax_number": "940-665-8057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLENIKEN",
"first_name": "TRACEY",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "18411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.