Individual provider Active NPI

Tracy J Harris, L.P.C.

  • Professional Counselor
  • Madison, AL
National Provider Identifier
1629412333
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2297 Issued in AL
Practice address
100 Essex CT Ste a
Madison, AL 35758-3140
Phone
(256) 325-2388
NPI assigned
Apr 24, 2013
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2297 AL Primary

Addresses

Primary practice location

100 Essex CT Ste a
Madison, AL 35758-3140

Mailing address

100 Essex CT Ste a
Madison, AL 35758-3140
Phone (256) 325-2388

Other practice location 1

402 Arnold St NE
Cullman, AL 35055-1952
Phone (256) 775-8301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2297ALMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ledbetter Psychological Services LLC PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1629412333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ESSEX CT STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583140",
            "telephone_number": "256-325-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ESSEX CT STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583140",
            "telephone_number": "256-325-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Arnold St NE",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350551952",
            "country_code": "US",
            "telephone_number": "256-775-8301",
            "fax_number": "256-735-1922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TRACY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.