Tracy A Van Horn, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

64053 Issued in TX

Practice address

14 E Central Ave Ste 2
Temple, TX 76501-7626

Phone

(432) 208-3347

NPI assigned

Nov 1, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psych Dimensions IncGroup PAC ID 0143589739, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psych Dimensions Inc

  • Psychiatry Physician
  • Georgetown, TX
  • NPI 1538534086
  Medicare reassignment Care Compare group NPD
• Cognizance Counseling Psychotherapy Services, PLLC

  • Professional Counselor
  • Temple, TX
  • NPI 1548782782
  NPD (past) Authorized official

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457651994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 HOGAN DRIVE",
            "city": "ROCKDALE",
            "state": "TX",
            "postal_code": "765675201",
            "telephone_number": "432-208-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E CENTRAL AVE STE 2",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765017626",
            "telephone_number": "432-208-3347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Illinois Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797014803",
            "country_code": "US",
            "telephone_number": "432-570-3300 x137",
            "fax_number": "432-570-3425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN HORN",
        "first_name": "TRACY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlyn Ogden Vallejo, MSW
• Bobby Vallejo, FNP-C
• Jesus Vallejo, MD
• Jessica Valles
• Rachel Van Gorp, MD
• Wesley Wayne Van Horn, NURSE PRACTITIONER
• Valerie H Van Wormer, MD
• Awais Vance
• Kimberly Irene Vance, LCSW
• Philip Wayne Vance Jr., DMD

• Professional Counselor in Temple, TX
• Providers in Temple, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.