NPIMap

Individual provider Active NPI

Traci Jean Hastings, LMHP

  • Mental Health Counselor
  • Scottsbluff, NE
National Provider Identifier
1699279174
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1823 Issued in NE
Practice address
4215 Avenue I
Scottsbluff, NE 69361-4902
Phone
(308) 635-3696
Fax
(308) 635-0680
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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 1823 NE Primary

Addresses

Primary practice location

4215 Avenue I
Scottsbluff, NE 69361-4902

Mailing address

4215 Avenue I
Scottsbluff, NE 69361-4902
Phone (308) 635-3696

Other names 1

  • Traci Jean Lichty Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Service Unit 13 Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1699279174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 AVENUE I",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614902",
            "telephone_number": "308-635-3696",
            "fax_number": "308-635-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 AVENUE I",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614902",
            "telephone_number": "308-635-3696",
            "fax_number": "308-635-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "TRACI",
        "middle_name": "JEAN",
        "credential": "LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "LICHTY",
            "middle_name": "JEAN",
            "credential": "LMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.