Individual provider Active NPI

Tracey Elaine Groux, LPC

  • Mental Health Counselor
  • Lignum, VA
National Provider Identifier
1316379282
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701002966 Issued in VA
Practice address
23164 Dragoon Rd
Lignum, VA 22726-2036
Phone
(540) 399-1926
NPI assigned
Aug 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701002966 VA Primary

Addresses

Primary practice location

23164 Dragoon Rd
Lignum, VA 22726-2036

Mailing address

23164 Dragoon Rd
Lignum, VA 22726-2036
Phone (540) 399-1926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315002678 DC Practitioner - Mental Health Counselor 9739525486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Medical of Michigan PCGroup PAC ID 9830562776, 90 clinicians

Practice addresses (Care Compare)

712 H St NE
Suite 2507
Washington, DC 20002-3627
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701002966VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical of Michigan PC CurrentSince Mar 5, 2024 Accepting new patients
Childhelp, Inc. PastSince Aug 14, 2022 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

712 H St NE
Ste 2507
Washington, DC 20002

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1316379282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23164 DRAGOON RD",
            "city": "LIGNUM",
            "state": "VA",
            "postal_code": "227262036",
            "telephone_number": "540-399-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23164 DRAGOON RD",
            "city": "LIGNUM",
            "state": "VA",
            "postal_code": "227262036",
            "telephone_number": "540-399-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROUX",
        "first_name": "TRACEY",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701002966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lignum, VA

Sources for this page

Verify at the official NPI Registry.