Active NPI
Tracy Boyer-Matthews, MA, LPC
- Professional Counselor
- Wilmington, NC
National Provider Identifier
1376518852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3735
- Practice address
- 3415 Wrightsville Ave
Wilmington, NC 28403-4117 - Phone
- (910) 791-5171
- Fax
- (910) 791-5777
- NPI assigned
- Feb 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3735 | NC | |
| Mental Health Counselor | 101YM0800X | 3735 | NC | |
| Professional Counselor | 101YP2500X | 3735 | NC | Primary |
Addresses
Primary practice location
3415 Wrightsville Ave
Wilmington, NC 28403-4117
Mailing address
3415 Wrightsville Ave
Wilmington, NC 28403-4117
Phone (910) 791-5171
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7582409 | Other | NC | AETNA |
| 1281J | Other | NC | BCBS |
| 206019 | Other | NC | COMPSYCH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3735 | NC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376518852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 WRIGHTSVILLE AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034117",
"telephone_number": "910-791-5171",
"fax_number": "910-791-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 WRIGHTSVILLE AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034117",
"telephone_number": "910-791-5171",
"fax_number": "910-791-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER-MATTHEWS",
"first_name": "TRACY",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "3735",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "3735",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7582409",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1281J",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "206019",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.