Individual provider Active NPI

Tracy A Hillmer, LCSW

  • Clinical Social Worker
  • Goodland, KS
National Provider Identifier
1326103458
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 2331 Issued in KS
Practice address
723 Main
Goodland, KS 67735
Phone
(785) 899-5991
Fax
(785) 899-2533
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Plains Mental Health Center 22 clinicians

Practice addresses (Care Compare)

208 E 7TH St
Hays, KS 67601-4139
Phone (785) 628-2871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100924001215 KS Practitioner - Clinical Social Worker 5698891810 Reassigns benefits to 1 organization
I20240619002105 WY Practitioner - Clinical Social Worker 5698891810 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2331KSMDProfessional Counselor
LSCSW 2331KSMDClinical Social Worker

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
High Plains Mental Health Center CurrentSince Feb 15, 2003 Accepting new patients
Liv in-Home Counseling & Care Management, LLC Clinical CurrentSince May 8, 2024 Accepting new patients
High Plains Mental Health Center Past Accepting new patients

Locations

723 Main Ave
Goodland, KS 67735
Phone (785) 899-5991

208 E 7th St
Hays, KS 67601
Phone (785) 628-2871

2500 Dell Range Blvd
Cheyenne, WY 82009
Phone (307) 630-4729

Networks

  • UT PPO

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1436 WY
Clinical Social Worker 1041C0700X LSCSW 2331 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

723 Main
Goodland, KS 67735

Mailing address

723 Main
Goodland, KS 67735
Phone (785) 899-5991

Other practice location 1

2500 Dell Range Blvd
Cheyenne, WY 82009-5273
Phone (307) 630-4729

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
069753OtherBCBS

Other names 1

NPPES NPI Registry
  • Ms. Tracy A Winchester Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2024.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1326103458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 MAIN",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "67735",
            "telephone_number": "785-899-5991",
            "fax_number": "985-899-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 MAIN",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "67735",
            "telephone_number": "785-899-5991",
            "fax_number": "785-899-2533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Dell Range Blvd",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820095273",
            "country_code": "US",
            "telephone_number": "307-630-4729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLMER",
        "first_name": "TRACY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-05-30",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "1436",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 2331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "069753",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "WINCHESTER",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodland, KS

Sources for this page

Verify at the official NPI Registry.