Tracie Ann Miller, MED, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9489 Issued in NC

Practice address

230 W Millbrook Rd
Raleigh, NC 27609-4304

Phone

(919) 763-1700

Fax

(919) 790-2361

NPI assigned

Jul 12, 2012

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

Other names 1

• Tracie Ann Robichaud Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 16, 2024 through Apr 16, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Light for Your Path Anxiety and Mental Health Counseling PLLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1568200590
  NPD Authorized official

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1699030866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 AMBERWINE LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873418",
            "telephone_number": "919-306-0188",
            "fax_number": "919-790-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094304",
            "telephone_number": "919-763-1700",
            "fax_number": "919-790-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TRACIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MED, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "ROBICHAUD",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacey Harrelson Miller, M.D.
• Susan Stott Miller, MED, LPC, NCC
• Tenisha Shereese Miller
• Theodore Ralph Miller Jr., ACNPC-AG
• Timothy Christopher Miller, OD
• Miller, Vann-Hunt & Associates
• Robert Anthony Millet Jr., M.D.
• William Patrick Millican, CRNA
• Shamika Milliken, LCSW
• Angela S. Mills, MA, LPC

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.