Active NPI
Tracy Ham Wright
- Mental Health Counselor
- Charleston, SC
National Provider Identifier
1336780469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6701
- Practice address
- 1365 Ashley River Rd Ste D
Charleston, SC 29407-5379 - Phone
- (843) 284-9636
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6701 | SC | Primary |
Addresses
Primary practice location
1365 Ashley River Rd Ste D
Charleston, SC 29407-5379
Mailing address
1365 Ashley River Rd Ste D
Charleston, SC 29407-5379
Phone (843) 284-9636
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6701 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1336780469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 ASHLEY RIVER RD STE D",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075379",
"telephone_number": "843-284-9636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 ASHLEY RIVER RD STE D",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075379",
"telephone_number": "843-284-9636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "TRACY",
"middle_name": "HAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "6701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.