Individual provider Active NPI

Tracie Schardein, LPC-T

  • Professional Counselor
  • Abilene, KS
National Provider Identifier
1316720808
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC04440-T Issued in KS
Practice address
102 S Van Buren St
Abilene, KS 67410-3705
Phone
(785) 992-0275
NPI assigned
Aug 17, 2023
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X KS
Professional Counselor 101YP2500X LPC04440-T KS Primary

Addresses

Primary practice location

102 S Van Buren St
Abilene, KS 67410-3705

Mailing address

102 S Van Buren St
Abilene, KS 67410-3705
Phone (785) 992-0275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240311003267 KS Practitioner - Mental Health Counselor 8820434061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Key Rehabilitation IncGroup PAC ID 9638086432, 59 clinicians

Practice addresses (Care Compare)

Abilene, KS 67410
Phone (785) 992-0275

206 S Dittman St
Geropsych a Division of Key Rehab
Frontenac, KS 66763-2253
Phone (620) 231-7340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC04440-TKSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Key Rehabilitation, Inc Current Accepting new patients
Key Rehabilitation Inc CurrentSince Jul 29, 2024 Accepting new patients
Key Rehabilitation, Inc CurrentSince Jul 29, 2024 Accepting new patients
Tracie Schardein, LLC CurrentSince Jan 4, 2024 Accepting new patients
Minneola District Hospital NBR 2 Past Accepting new patients
Maxwell Psychological Services, L.L.C. Past Accepting new patients
Minneola District Hospital NBR 2 Past Accepting new patients

Locations

102 S Van Buren St
Abilene, KS 67410
Phone (785) 992-0275

206 S Dittman St
#A
Frontenac, KS 66763
Phone (620) 231-7340

2800 Willow Grove Rd
#A
Manhattan, KS 66502
Phone (785) 539-7671

1335 NW Broad St
Murfreesboro, TN 37129
Phone (615) 983-0240

Organizations & group practices 7

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1316720808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S VAN BUREN ST",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674103705",
            "telephone_number": "785-992-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S VAN BUREN ST",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674103705",
            "telephone_number": "785-992-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARDEIN",
        "first_name": "TRACIE",
        "credential": "LPC-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LPC04440-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, KS

Sources for this page

Verify at the official NPI Registry.