Active NPI
Tracie Vickery
- Mental Health Counselor
- Montgomery, TX
National Provider Identifier
1649124603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 98035
- Practice address
- PO Box 1172
Montgomery, TX 77356-1172 - Phone
- (936) 777-9931
- NPI assigned
- Feb 25, 2026
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 98035 | TX | Primary |
Addresses
Primary practice location
PO Box 1172
Montgomery, TX 77356-1172
Mailing address
PO Box 1172
Montgomery, TX 77356-1172
Phone (936) 777-9931
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 |
|---|---|---|---|
| 98035 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1649124603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1172",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773561172",
"telephone_number": "936-777-9931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1172",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773561172",
"telephone_number": "936-777-9931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERY",
"first_name": "TRACIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-25",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "98035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, TX
- Khoa Truong, MD
- TX Southern Dental PPO PC (Scott Family Dental)
- Txpromed LLC (Tx Pro Med Pharmacy & Wellness)
- Valiant Psychology, PLLC
- Lisa Lee Vanderpool, MS, LPC
- Andrew Charles Von Eschenbach, MD
- Abigail Wagner
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-3591)
- Wal-Mart Stores Texas, LP (Vision Center 30-3591)
- Walgreen Co (Walgreens #10919)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.