Individual provider Active NPI

Tracy D Burris, LCPC

  • Mental Health Counselor
  • Bowie, MD
National Provider Identifier
1437568326
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC7042 Issued in MD
Practice address
6710 Laurel Bowie Rd Unit 803
Bowie, MD 20718-7522
Phone
(240) 366-4260
Fax
(301) 576-7487
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP5664 MD
Mental Health Counselor 101YM0800X LC7042 MD Primary

Addresses

Primary practice location

6710 Laurel Bowie Rd Unit 803
Bowie, MD 20718-7522

Mailing address

6710 Laurel Bowie Rd Unit 803
Bowie, MD 20718-7522
Phone (240) 336-4260

Other identifiers 1

IdentifierTypeStateIssuer
116075300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC7042MDMDMental Health Counselor
LGP5664MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Exemplary Services Enterprises, LLC Mental Health Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1437568326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 LAUREL BOWIE RD UNIT 803",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207187522",
            "telephone_number": "240-336-4260",
            "fax_number": "301-576-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 LAUREL BOWIE RD UNIT 803",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207187522",
            "telephone_number": "240-366-4260",
            "fax_number": "301-576-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "TRACY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP5664",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC7042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116075300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.