Active NPI
Tracy Darden, LPCA
- Professional Counselor
- Louisville, KY
National Provider Identifier
1447647896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 163450
- Practice address
- 1154 S 15TH St
Louisville, KY 40210-1567 - Phone
- (502) 907-7706
- NPI assigned
- Apr 23, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 163450 | KY | Primary |
Addresses
Primary practice location
1154 S 15TH St
Louisville, KY 40210-1567
Mailing address
1154 S 15TH St
Louisville, KY 40210-1567
Phone (502) 909-7706
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
| License | State | Type | Specialty |
|---|---|---|---|
| 163450 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge the Gap Addiction and Mental Health Services | Past | 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.
-
- Addiction (Substance Use Disorder) Counselor
- Louisville, KY
- NPI 1639560915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1447647896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1154 S 15TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402101567",
"telephone_number": "502-909-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1154 S 15TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402101567",
"telephone_number": "502-907-7706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARDEN",
"first_name": "TRACY",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-23",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "163450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.