Tracy Lee Gilreath, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9407 Issued in NC

Practice address

1210 Davie Ave
Statesville, NC 28677

Phone

(704) 818-7243

Fax

(704) 919-5196

NPI assigned

Jun 17, 2012

Last updated

Feb 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1487917373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 DANBURY LN",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258901",
            "telephone_number": "704-818-7243",
            "fax_number": "704-919-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28677",
            "telephone_number": "704-818-7243",
            "fax_number": "704-919-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILREATH",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-17",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9407",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kuladeep Krishna Gidda, M.D.
• Kendra Gilbert
• Susan Marie Gilbert, FNP
• Burgo Doyle Gill III, PA
• Shara Gilreath, M.A., LPCA
• Diana Glover-Campbell, CO, CPED, CFM
• Nicole Taylor Glunt, CCC-SLP
• Tammy Godfrey, LCAS
• Dawn Goforth
• Mariana Gonzalez-Perez, LCMHC-A

• Mental Health Counselor in Statesville, NC
• Providers in Statesville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.