Individual provider Active NPI

Tracie Lynn Webb, M.A., LLP

  • Counseling Psychologist
  • Muskegon, MI
National Provider Identifier
1447540877
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301013810 Issued in MI
Practice address
1148 4TH St
Muskegon, MI 49441-1907
Phone
(231) 726-2299
NPI assigned
Apr 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C00803 MI
School Counselor 101YS0200X 6301013810 MI
Counseling Psychologist 103TC1900X 6301013810 MI Primary

Addresses

Primary practice location

1148 4TH St
Muskegon, MI 49441-1907

Mailing address

1132 Green St
Muskegon, MI 49442-4147
Phone (231) 557-7425

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C00803MIMDAddiction (Substance Use Disorder) Counselor
6301013810MIMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Psychological Associates PC Counseling PastSince Oct 8, 1997 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1447540877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 GREEN ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424147",
            "telephone_number": "231-557-7425",
            "fax_number": "231-777-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 4TH ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411907",
            "telephone_number": "231-726-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "TRACIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.A., LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C00803",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "6301013810",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301013810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.