Vanessa Tracz

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

24861 Issued in FL

Practice address

11555 Central Pkwy Ste 701
Jacksonville, FL 32224-2699

Phone

(904) 704-2527

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1649033390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10135 GATE PKWY N APT 905",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 CENTRAL PKWY STE 701",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242699",
            "telephone_number": "904-704-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACZ",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "24861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan David Tracey, PHARM.D.
• Tracy Riley Counseling LLC
• Tracy Riley Counseling LLC
• Michael C Tracy, MD
• Susanne Tracy, M.D.
• Trading-Interventions
• Traditional Home Care, Inc. (Medical Services of America Home Health)
• Dorothy Ijeanette Train, MCD, CCC-SLP
• Desiree Traina, M.A
• Elizabeth Fletcher Trainer, MD

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.