Active NPI
Holly J Tracy, LPC, LMFT, CTS, NCC
- Marriage & Family Therapist
- Norfolk, VA
National Provider Identifier
1356437750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717001120
- Practice address
- 110 Maycox Ave
Suite 3
Norfolk, VA 23505-3433 - Phone
- (757) 769-7040
- Fax
- (757) 769-7050
- NPI assigned
- Oct 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004033 | VA | |
| Marriage & Family Therapist | 106H00000X | 0717001120 | VA | Primary |
Addresses
Primary practice location
110 Maycox Ave
Suite 3
Norfolk, VA 23505-3433
Mailing address
110 Maycox Ave
Suite 3
Norfolk, VA 23505-3433
Phone (757) 769-7040
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 |
|---|---|---|---|
| 0701004033 | VA | MD | Professional Counselor |
| 0717001120 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PBP Psychotherapy LTD | Professional | Past | Accepting new patients |
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": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1356437750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MAYCOX AVE",
"address_2": "SUITE 3",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235053433",
"telephone_number": "757-769-7040",
"fax_number": "757-769-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MAYCOX AVE",
"address_2": "SUITE 3",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235053433",
"telephone_number": "757-769-7040",
"fax_number": "757-769-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "HOLLY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LPC, LMFT, CTS, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004033",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717001120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.