Individual provider Active NPI

Tracy Dunton, MA LPC

  • Counselor
  • Chesterfield, MI
National Provider Identifier
1447387550
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401005321 Issued in MI
Practice address
46360 Gratiot Ave
Chesterfield, MI 48051-2800
Phone
(586) 948-0224
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401005321 MI Primary

Addresses

Primary practice location

46360 Gratiot Ave
Chesterfield, MI 48051-2800

Mailing address

45642 Pentwater Dr
Macomb, MI 48044-4237
Phone (586) 343-3458

Other practice location 1

45642 Pentwater Dr
Macomb, MI 48044-4237
Phone (586) 343-3458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20240318001773 MI Practitioner - Mental Health Counselor 6608213335 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Recycle Smiles LLC CurrentSince Sep 13, 2024 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Feb 15, 2024 Accepting new patients

Locations

38600 Van Dyke Ave
Ste 101
Sterling Heights, MI 48312
Phone (248) 266-5591

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

2250 Butterfield Dr
Ste 150
Troy, MI 48084
Phone (248) 963-1916

89 W South Blvd
Troy, MI 48085
Phone (248) 891-2607

Organizations & group practices 2

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1447387550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45642 PENTWATER DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444237",
            "telephone_number": "586-343-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46360 GRATIOT AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512800",
            "telephone_number": "586-948-0224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45642 Pentwater Dr",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480444237",
            "country_code": "US",
            "telephone_number": "586-343-3458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNTON",
        "first_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401005321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.