Tracie G Parnell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4000 Engler Ave
Saint Louis, MO 63114-4125

Phone

(314) 252-8216

Fax

(844) 519-7811

NPI assigned

Dec 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 3, 2024 through Apr 3, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Imagine Me Counseling, LLC

  • Professional Counselor
  • Overland, MO
  • NPI 1740645811
  NPD (past)

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1386114262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9648 OLIVE BLVD STE 438",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323002",
            "telephone_number": "314-265-5974",
            "fax_number": "844-519-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ENGLER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144125",
            "telephone_number": "314-252-8216",
            "fax_number": "844-519-7811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9648 Olive Blvd Ste 438",
            "address_purpose": "LOCATION",
            "city": "Olivette",
            "state": "MO",
            "postal_code": "631323002",
            "country_code": "US",
            "telephone_number": "314-265-5974",
            "fax_number": "844-519-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARNELL",
        "first_name": "TRACIE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkside Surgery and Medicine
• Parkway Orthopaedic Group Inc
• Parkway Pathology Group, Inc.
• Daniel Parmeley, CRNA
• Justin Lane Parmely, MD
• Juan Carlos Parodi, MD
• Karsee Taylor Parr, LPC
• Molly Parr
• Carolina Parra Cantu, MD
• Luis Parra-Rodriguez, M.D.

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.