Organization Active NPI

Tracs, Treatment & Consultation Services, P.C.

  • Mental Health Counselor
  • Kalamazoo, MI
National Provider Identifier
1376682823
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRACS, TREATMENT & CONSULTATION SERVICES, P.C.
Practice address
605 Howard St
Kalamazoo, MI 49008-1919
Phone
(269) 373-6447
Fax
(269) 373-1229
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Connie A Black-Pond, MA, LMSW, LPC
Title
President
Phone
(269) 373-6447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

605 Howard St
Kalamazoo, MI 49008-1919

Mailing address

605 Howard St
Kalamazoo, MI 49008-1919
Phone (269) 373-6447

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1376682823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081919",
            "telephone_number": "269-373-6447",
            "fax_number": "269-373-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081919",
            "telephone_number": "269-373-6447",
            "fax_number": "269-373-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACS, TREATMENT & CONSULTATION SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "BLACK-POND",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-373-6447",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMSW, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.