Traci Poe, MA, MCCLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1716 Griffin LN
Mansfield, TX 76063-8560

Phone

(817) 965-5886

Fax

(866) 929-1927

NPI assigned

Jun 7, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• The Refuge Counseling Resources

  • Community/Behavioral Health Agency
  • Mansfield, TX
  • NPI 1184971392
  NPD (past)

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1467011056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KEVIN CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634861",
            "telephone_number": "682-472-7807",
            "fax_number": "866-929-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 GRIFFIN LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638560",
            "telephone_number": "817-965-5886",
            "fax_number": "866-929-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "TRACI",
        "name_prefix": "Mrs.",
        "credential": "MA, MCCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Pike
• Caleb Pincock, DPM
• Fariba Piroozmandi-Norgaard, LCSW
• Kimberley Shenee Player, MSN, APRN, FNP-C
• David Nick Podgurecki, M.D.
• Point of Change Counseling Education and Training Services
• Poised Potential Counseling and Consulting PLLC
• Kanisha Polk
• Kendall Polk, CSFA
• Jill Ann Pollard, LCSW

• Community Health Worker in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.