Active NPI
Tracey Pauls, LCPC
- Professional Counselor
- Lanham, MD
National Provider Identifier
1639617566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC7241
- Practice address
- 10104 Senate Dr
Suite 228
Lanham, MD 20706-4392 - Phone
- (301) 577-4920
- NPI assigned
- Feb 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC7241 | MD | Primary |
Addresses
Primary practice location
10104 Senate Dr
Suite 228
Lanham, MD 20706-4392
Mailing address
4456 Regalwood Ter
Burtonsville, MD 20866-2227
Phone (301) 792-9361
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC7241 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Treatment Services LLC | Professional | Past | 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 and National Provider Directory roles.
-
- Professional Counselor
- Lanham, MD
- NPI 1003216656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486771200000",
"number": "1639617566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4456 REGALWOOD TER",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208662227",
"telephone_number": "301-792-9361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10104 SENATE DR",
"address_2": "SUITE 228",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064392",
"telephone_number": "301-577-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULS",
"first_name": "TRACEY",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-11",
"last_updated": "2017-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC7241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.