Tracey Ann Durkin Professional Corporation

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TRACEY ANN DURKIN PROFESSIONAL CORPORATION

Practice address

3806 Greengarden Rd
Erie, PA 16509-1117

Phone

(814) 572-0127

Fax

(814) 451-0338

NPI assigned

Jul 31, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Tracey Ann Durkin, LPCNPI 1134587215

Title

Owner

Phone

(814) 572-0127

Specialties & licenses 1

Addresses

Other names 1

• Tracey Durkin LPC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey Ann Durkin, MA, LPC, NCC

  • Professional Counselor
  • Erie, PA
  • NPI 1134587215
  NPD Authorized official

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1629622279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 GREENGARDEN RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091117",
            "telephone_number": "814-572-0127",
            "fax_number": "814-451-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 GREENGARDEN RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091117",
            "telephone_number": "814-572-0127",
            "fax_number": "814-451-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY ANN DURKIN PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "DURKIN",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-572-0127",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracey Durkin LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Erie, PA
• Providers in Erie, PA by specialty
• Professional Counselor in Pennsylvania

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