Individual provider Active NPI

Tracy Lynn Leet, M.A.

  • Mental Health Counselor
  • Meadville, PA
National Provider Identifier
1376883868
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
435 Chestnut St
Parkside Psychological Associates, LLC
Meadville, PA 16335-4404
Phone
(814) 807-0861
Fax
(814) 807-0863
NPI assigned
Feb 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

435 Chestnut St
Parkside Psychological Associates, LLC
Meadville, PA 16335-4404

Mailing address

230 Mount Hope St
Meadville, PA 16335-1714
Phone (814) 807-0861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20200325003802 PA Practitioner - Clinical Social Worker 0446689434 Practice locations: Coudersport, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1376883868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MOUNT HOPE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351714",
            "telephone_number": "814-807-0861",
            "fax_number": "814-807-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 CHESTNUT ST",
            "address_2": "PARKSIDE PSYCHOLOGICAL ASSOCIATES, LLC",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354404",
            "telephone_number": "814-807-0861",
            "fax_number": "814-807-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEET",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.