Tracey Eddy, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

69113 Issued in TX

Practice address

5297 S 31St St
113
Temple, TX 76502-3512

Phone

(254) 228-5830

Fax

(512) 532-0806

NPI assigned

Nov 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• The Shepherds New Pathways, LLC

  • Professional Counselor
  • Temple, TX
  • NPI 1356779706
  NPD (past)
• The Shepherds New Pathways, LLC

  • Professional Counselor
  • Georgetown, TX
  • NPI 1841813003
  NPD (past)

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1306275318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5297 S 31ST ST",
            "address_2": "113",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023512",
            "telephone_number": "254-228-5830",
            "fax_number": "512-532-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5297 S 31ST ST",
            "address_2": "113",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023512",
            "telephone_number": "254-228-5830",
            "fax_number": "512-532-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "TRACEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Elena Eberhardt, MSN, APRN, FNP-C
• Charles Henry Eberhart III, LVN
• Elizabeth Ann Ebert, M.D.
• Benson Ebozue, DPM
• Kaylen Echols
• Whitney Brant Edmister, M.D., PH.D.
• Educare Community Living Corporation - Texas
• Educare Community Living Limited Partnership
• Educare Community Living Limited Partnership
• Educare Community Living Limited Partnership

• Professional Counselor in Temple, TX
• Providers in Temple, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.