Active NPI
Tracy L. Allred, ED.D.
- Counseling Psychologist
- Oak Ridge, TN
National Provider Identifier
1417027467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- P0000002330
- Practice address
- 685 Emory Valley Road
Suite C
Oakridge, TN 37830 - Phone
- (865) 482-9252
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | P0000002330 | TN | Primary |
Addresses
Primary practice location
685 Emory Valley Road
Suite C
Oakridge, TN 37830
Mailing address
685 Emory Valley Road
Suite C
Oakridge, TN 37830
Phone (865) 482-9252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200323002660 | TN | Practitioner - Psychologist Billing Independently | 2668800772 | Practice locations: Oak Ridge, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0000002330 | TN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417027467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 EMORY VALLEY ROAD",
"address_2": "SUITE C",
"city": "OAKRIDGE",
"state": "TN",
"postal_code": "37830",
"telephone_number": "865-482-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 EMORY VALLEY ROAD",
"address_2": "SUITE C",
"city": "OAKRIDGE",
"state": "TN",
"postal_code": "37830",
"telephone_number": "865-482-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "TRACY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TN",
"license": "P0000002330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
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- Andrea Belt Behavioral Health Services, LLC
- Andrea Belt Mental Health Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.