Tracy Lynett Mitchell

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

22365 Barton Rd Ste 302
Grand Terrace, CA 92313-5078

Phone

(951) 653-6958

NPI assigned

Mar 22, 2024

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

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.

• Chastella Inc

  • Clinical Social Worker
  • Moreno Valley, CA
  • NPI 1205551827

  Peer Specialist

  NPD
• Chastella Inc

  • Clinical Social Worker
  • Moreno Valley, CA
  • NPI 1699492751

  Peer Specialist

  NPD
• Wholeness Empowerment Group Licensed Clinical Social Worker, Inc

  • Clinical Social Worker
  • Grand Terrace, CA
  • NPI 1033730072
  NPD

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1548010697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1170",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925561170",
            "telephone_number": "951-653-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22365 BARTON RD STE 302",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135078",
            "telephone_number": "951-653-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TRACY",
        "middle_name": "LYNETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selyn Anika Quemuel Mendoza, A.A.
• Hosea Mercer
• Metro Anesthesia Group
• Mikaela Elyse Millican, PT, DPT
• Minona Garden LLC
• Pablo Mleziva, PHYSICAL THERAPIST
• Jack Montoya, MS
• Samantha Moore
• Alexandra Morla
• Morning Glory Healthcare, Inc.

• Peer Specialist in Grand Terrace, CA
• Providers in Grand Terrace, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.