Tracie L Timme, MS, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CP5379 Issued in NV

Practice address

8945 W Russell Rd Ste 110
Las Vegas, NV 89148-1225

Phone

(702) 476-9294

NPI assigned

Nov 5, 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

Enrolled in NV

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Care PLLCGroup PAC ID 4284007469, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Mental Health Care PLLC

  dba Las Vegas Valley Mental Health

  • Psychologist
  • Las Vegas, NV
  • NPI 1811600265

  Professional

  Medicare reassignment Care Compare group NPD
• Genesis New Beginnings LLC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1144850736
  Medicare reassignment NPD
• Genesis New Beginnings LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1760213177
  NPD

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1467096156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481225",
            "telephone_number": "702-476-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481225",
            "telephone_number": "702-476-9294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8687 W Sahara Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891175869",
            "country_code": "US",
            "telephone_number": "702-830-9619",
            "fax_number": "702-840-1033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2610 W Horizon Ridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890522870",
            "country_code": "US",
            "telephone_number": "725-999-1472",
            "fax_number": "702-840-1033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMME",
        "first_name": "TRACIE",
        "middle_name": "L",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Time to Talk LLC
• Timeless Care Hospice Inc
• Christy Jazz Timko
• Donald Stanley Timm
• Max Lawton Timm, CNIM
• Michael A Timmer, CAA
• Lisa Timmins
• Lajon Timmons
• Pammy Lshea Timmons
• Renetha Timmons

• Professional Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.