Tracy Louise Wilson, LCPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

62548 Issued in MT

Practice address

300 W Broadway St Ste 2
Missoula, MT 59802-4126

Phone

(406) 531-1042

NPI assigned

Mar 8, 2023

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

Other names 1

• Tracy L Wilson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1427758325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17491",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598087491",
            "telephone_number": "406-531-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY ST STE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024126",
            "telephone_number": "406-531-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TRACY",
        "middle_name": "LOUISE",
        "credential": "LCPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "62548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "WILSON",
            "middle_name": "L",
            "credential": "LCPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mark Wilson, DC
• Pamela C. Wilson, LCPC
• Philip Michael Wilson, D.D.S.
• Tara Mahoney Wilson, MSPT, OCS, CSCS
• Tiana Wilson, LCSW
• David E Wiltfong, LCSW
• Kate Carey Wiltfong, LCSW
• Montanna Windham, LAT, ATC
• Gary Alan Wingfield
• Ryan Winn

• Mental Health Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.