Individual provider Active NPI

Tracy Lynn Ulrich, LCMHC

  • Mental Health Counselor
  • Hardwick, VT
National Provider Identifier
1396898706
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0000677 Issued in VT
Practice address
135 S Main St.
Hardwick, VT 05843
Phone
(802) 472-5411
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068-0000677 VT Primary

Addresses

Primary practice location

135 S Main St.
Hardwick, VT 05843

Mailing address

1823 Cadys Falls Rd
Morrisville, VT 05661-9000
Phone (802) 851-1119

Other identifiers 1

IdentifierTypeStateIssuer
1012555MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2024 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
068-0000677VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy Ulrich, LLC CurrentSince Jan 22, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396898706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 CADYS FALLS RD",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056619000",
            "telephone_number": "802-851-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S MAIN ST.",
            "city": "HARDWICK",
            "state": "VT",
            "postal_code": "05843",
            "telephone_number": "802-472-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012555",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardwick, VT

Sources for this page

Verify at the official NPI Registry.