Tracy Passaro, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC004260 Issued in PA

Practice address

514 W 3Rd Ave
Warren, PA 16365-2201

Phone

(814) 723-5545

Fax

(814) 723-6355

NPI assigned

Dec 5, 2006

Last updated

Jan 15, 2020By the provider in NPPES

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

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

Specialty

Mental Health Counselor

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverside Counseling, LLC

  • Community/Behavioral Health Agency
  • Warren, PA
  • NPI 1972090967
  Medicare reassignment NPD
• Mindful Journeys, LLC

  • Community/Behavioral Health Agency
  • Warren, PA
  • NPI 1235885435
  NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1417015108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W 3RD AVE",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652201",
            "telephone_number": "814-723-5545",
            "fax_number": "814-723-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W 3RD AVE",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652201",
            "telephone_number": "814-723-5545",
            "fax_number": "814-723-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSARO",
        "first_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas O'Neill Jr., O.D
• Regan Nicole Olsen, MSN, BSN, NP-C
• On Point Physical & Occupational Therapy
• Scott Charles Palmeri, PT, ECS
• Kodi Papalia, LSW
• Hiral Patel, D.C.
• Kathleen Patterson, CRNP
• Paul L Boger DMD, PC (Market Street Dental)
• Whitney Michele Paul, D.D.S.
• Rebecca Marie Pell, SW

• Professional Counselor in Warren, PA
• Providers in Warren, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.