Tracie Lynn Hillard, M.S., M.DIV., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4510 Issued in NC

Practice address

208 Malloy St Ste E
Goldsboro, NC 27534-4478

Phone

(919) 778-5594

NPI assigned

Aug 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Living Waters Counseling, PLLC

  • Counselor
  • Goldsboro, NC
  • NPI 1689935264

  NC

  Medicare reassignment NPD Authorized official
• Goldsboro Counseling Center, P.a.

  • Professional Counselor
  • Goldsboro, NC
  • NPI 1881651347

  Professional

  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1376735928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MALLOY ST STE E",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344478",
            "telephone_number": "919-778-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MALLOY ST STE E",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344478",
            "telephone_number": "919-778-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLARD",
        "first_name": "TRACIE",
        "middle_name": "LYNN",
        "credential": "M.S., M.DIV.,  LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103678",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Higginson
• Highgate Clinic, P.a.
• Clarette Ra'Donna Hill
• Heather Hardy Hill, FNP
• Nyeasha Hill, LPN
• Matthew J Hilsman, D.O.
• Amity Storm Hines
• Anaise Hope Hines, NP-C
• Hinnant Family Dentistry
• Keith F Hinnant

• All providers in Goldsboro, NC
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.