Amber Ellise Tracy, MA, LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

85669 Issued in TX

Practice address

916 S Capital of Texas Hwy
West Lake Hills, TX 78746-5210

Phone

(512) 961-5575

NPI assigned

Jun 2, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1689313033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SCHICKEL TER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787381168",
            "telephone_number": "936-525-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 S CAPITAL OF TEXAS HWY",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465210",
            "telephone_number": "512-961-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "AMBER",
        "middle_name": "ELLISE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amber.tracy@austinstonecounseling.org",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant gmail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "916 S Capital Of Texas Hwy",
            "city": "West Lake Hills",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787465210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jennifer Trevizo
• Emmanuel Anthony Trigenis, M.D.
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• Mental Health Counselor in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.