Tracey Telehealth Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRACEY TELEHEALTH THERAPY LLC

Practice address

18 Saint Andrews CT
Flanders, NJ 07836-4418

Phone

(908) 242-6283

NPI assigned

Jun 18, 2020

Last updated

Jul 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracey Thompson, LCSWNPI 1750905352

Title

Therapist/Owner

Phone

(908) 242-6283

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracey Thompson, LCSW

  • Clinical Social Worker
  • Rockaway, NJ
  • NPI 1750905352

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1386260099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SAINT ANDREWS CT",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078364418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SAINT ANDREWS CT",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078364418",
            "telephone_number": "908-242-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY TELEHEALTH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "908-242-6283",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Thoelen
• Lauren Ann Thomas
• Rebecca P Thomlinson, FNP-C
• Total Care Nutrition Services
• Edy M. Toussaint, MT-BC
• Heily Valdez
• Timothy A Valenzuela, LPN
• Andrea L Varellie, BSPT
• Swapna Venigalla, R.PH
• Vida Sarkodie Inc.

• Community/Behavioral Health Agency in Flanders, NJ
• Providers in Flanders, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.