Individual provider Active NPI

Tracey Kelce, LMHC

  • Mental Health Counselor
  • New Bedford, MA
National Provider Identifier
1649312372
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10354 Issued in MA
Practice address
4364 Acushnet Ave
New Bedford, MA 02745
Phone
(508) 998-2700
Fax
(508) 998-2176
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10354 MA Primary

Addresses

Primary practice location

4364 Acushnet Ave
New Bedford, MA 02745

Mailing address

4364 Acushnet Ave
New Bedford, MA 02745
Phone (508) 998-2700

Other practice location 1

30 Taunton Grn Ste 5
Taunton, MA 02780-3243
Phone (508) 880-6666

Other identifiers 1

IdentifierTypeStateIssuer
10354OtherMALMHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20240209000059 MA Practitioner - Mental Health Counselor 2264875913 Practice locations: East Freetown, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 Crossroads Dr
East Freetown, MA 02717-1256
Phone (774) 206-6635

PO Box
Suite 106
East Freetown, MA 02717-0106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bergeron Chiropractic Neurology PC Past Accepting new patients
Northeast Health Services Past Accepting new patients
Northeast Health Services, LLC PastSince Aug 11, 2015 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1649312372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4364 ACUSHNET AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02745",
            "telephone_number": "508-998-2700",
            "fax_number": "508-998-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4364 ACUSHNET AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02745",
            "telephone_number": "508-998-2700",
            "fax_number": "508-998-2176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Taunton Grn Ste 5",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027803243",
            "country_code": "US",
            "telephone_number": "508-880-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELCE",
        "first_name": "TRACEY",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "10354",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.