Tracy Teimourian

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105607 Issued in TX

Practice address

4222 Trinity Mills Rd Ste 250
Dallas, TX 75287-7655

Phone

(972) 534-4288

NPI assigned

Feb 15, 2013

Last updated

Aug 21, 2023By the provider in NPPES

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

Other names 1

• Tracy Teimourian Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Clinical Social Worker

Education

University of California, San Francisco School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gregam, PLLCGroup PAC ID 6002281565, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gregam PLLC

  dba Ellie Mental Health-Carrollton

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1558070284
  Medicare reassignment Care Compare group NPD Authorized official
• US Televero Health PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1992318992
  Medicare reassignment NPD
• Caladium Counseling, PLLC

  dba Ellie Mental Health

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1942947080
  NPD (past)

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1639419351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 E JACKSON RD UNIT 113312",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750114457",
            "telephone_number": "469-554-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 TRINITY MILLS RD STE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877655",
            "telephone_number": "972-534-4288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6736 Laurel Canyon Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916061538",
            "country_code": "US",
            "telephone_number": "818-755-8786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5900 Balcones Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787314298",
            "country_code": "US",
            "telephone_number": "469-554-9992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEIMOURIAN",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "TEIMOURIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Lorraine Teed, PA-C
• Teekenson Pharmacy
• Bradley Teel Jr., M.D.
• Rachel Alise Teeters, PA-C
• Katie Madison Tehas
• Krysten Jacqueline Teisl, CRNA
• Mubeen Muradali Tejani, MD
• Sanaa Tejani
• Shaista Amin Tejani
• Carolyn Tejeda Reyes

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.