Individual provider Active NPI

Tracey Quade, LMHC MED

  • Mental Health Counselor
  • Beverly, MA
National Provider Identifier
1326222829
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4012 Issued in MA
Practice address
111 Dodge St Rear
Beverly, MA 01915-1827
Phone
(978) 921-1182
Fax
(978) 921-2982
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 4012 MA Primary

Addresses

Primary practice location

111 Dodge St Rear
Beverly, MA 01915-1827

Mailing address

111 Dodge St Rear
Beverly, MA 01915-1827
Phone (978) 921-1182

Other practice location 1

100 Cummings Ctr Ste 204G
Beverly, MA 01915-6286
Phone (978) 993-1988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20260129001145 MA Practitioner - Mental Health Counselor 4183102445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Cummings Ctr
Beverly, MA 01915-6106

8 B Summer St
Manchester, MA 01944-1579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
4012MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nie Health Inc CurrentSince Dec 8, 2025 Accepting new patients

Locations

100 Cummings Ctr
Ste 204G
Beverly, MA 01915
Phone (978) 993-1988

Organizations & group practices 1

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": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1326222829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DODGE ST REAR",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151827",
            "telephone_number": "978-921-1182",
            "fax_number": "978-921-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DODGE ST REAR",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151827",
            "telephone_number": "978-921-1182",
            "fax_number": "978-921-2982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cummings Ctr Ste 204G",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019156286",
            "country_code": "US",
            "telephone_number": "978-993-1988",
            "fax_number": "978-922-0422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUADE",
        "first_name": "TRACEY",
        "credential": "LMHC MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.