Individual provider Active NPI

Tracy Simone Fields, LISW-CP

  • Mental Health Counselor
  • Greenville, SC
National Provider Identifier
1629517578
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11787 Issued in SC
Practice address
535 W Butler Rd Ste C
Greenville, SC 29607-4833
Phone
(864) 581-2619
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11787 SC
Case Manager/Care Coordinator 171M00000X 11787 SC
Mental Health Counselor 101YM0800X 11787 SC Primary

Addresses

Primary practice location

535 W Butler Rd Ste C
Greenville, SC 29607-4833

Mailing address

229 Holstein CT
Fountain Inn, SC 29644-9493
Phone (864) 504-7684

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tracy.Fields@Fields-Bright.com Direct

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)
Enrolled

Interoperability endpoints

  • Direct secure messaging: tracy.fields@fields-bright.com

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1629517578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 HOLSTEIN CT",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449493",
            "telephone_number": "864-504-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W BUTLER RD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074833",
            "telephone_number": "864-581-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "TRACY",
        "middle_name": "SIMONE",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2020-10-15",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11787",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "SC",
            "license": "11787",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "11787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tracy.Fields@Fields-Bright.com",
            "affiliation": "N",
            "endpointDescription": "Provider email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "535 W Butler Rd Ste C",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296074833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.