Individual provider Active NPI

Tracy Lyn Helmer, PSY.D.

  • Clinical Psychologist
  • Roanoke, VA
National Provider Identifier
1316091580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003535 Issued in VA
Practice address
3247 Electric Rd
Suite 1-a
Roanoke, VA 24018-6448
Phone
(540) 772-0690
Fax
(540) 772-0692
NPI assigned
Jan 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810003535 VA Primary

Addresses

Primary practice location

3247 Electric Rd
Suite 1-a
Roanoke, VA 24018-6448

Mailing address

242 Butler CT
Daleville, VA 24083-3225
Phone (540) 992-2307

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810003535VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Elton's Soul to Soul Company PastSince Dec 29, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Appalachian Clinical Associates P.C. Clinical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tracyhelmer@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316091580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 BUTLER CT",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240833225",
            "telephone_number": "540-992-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 ELECTRIC RD",
            "address_2": "SUITE 1-A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186448",
            "telephone_number": "540-772-0690",
            "fax_number": "540-772-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMER",
        "first_name": "TRACY",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

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.

Verify at the official NPI Registry.