Individual provider Active NPI

Tracy Lazar, NCC, LPCMH, CCDP-D

  • Mental Health Counselor
  • Dover, DE
National Provider Identifier
1457636334
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0000561 Issued in DE
Practice address
9 E Loockerman St Ste 316
Dover, DE 19901-8305
Phone
(302) 529-0859
Fax
(302) 724-7777
NPI assigned
Oct 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC-0000561 DE Primary

Addresses

Primary practice location

9 E Loockerman St Ste 316
Dover, DE 19901-8305

Mailing address

9 E Loockerman St Ste 316
Dover, DE 19901-8305
Phone (302) 529-0859

Other practice location 1

500 Duck Creek Pkwy
Smyrna, DE 19977-1066
Phone (302) 653-2552

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
PC-0000561DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1457636334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E LOOCKERMAN ST STE 316",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199018305",
            "telephone_number": "302-529-0859",
            "fax_number": "302-724-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E LOOCKERMAN ST STE 316",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199018305",
            "telephone_number": "302-529-0859",
            "fax_number": "302-724-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Duck Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "DE",
            "postal_code": "199771066",
            "country_code": "US",
            "telephone_number": "302-653-2552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "TRACY",
        "credential": "NCC, LPCMH, CCDP-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0000561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.