Active NPI
Tracey McLean
- Addiction (Substance Use Disorder) Counselor
- Temecula, CA
National Provider Identifier
1639731383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1423770421
- Practice address
- 40925 County Center Dr Ste 100
Temecula, CA 92591-6037 - Phone
- (951) 600-6360
- Fax
- (951) 600-6444
- NPI assigned
- Jul 2, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1423770421 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
40925 County Center Dr Ste 100
Temecula, CA 92591-6037
Mailing address
1600 S San Jacinto Ave SPC 146
San Jacinto, CA 92583-8546
Phone (760) 645-5511
Other names 1
- Tracey Voeltner
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 |
|---|---|---|---|
| R1423770421 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1639731383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S SAN JACINTO AVE SPC 146",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925838546",
"telephone_number": "760-645-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40925 COUNTY CENTER DR STE 100",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925916037",
"telephone_number": "951-600-6360",
"fax_number": "951-600-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "TRACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1423770421",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACEY",
"last_name": "VOELTNER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.