Individual provider Active NPI

Tracy Waite, LPCC

  • Mental Health Counselor
  • Belpre, OH
National Provider Identifier
1700345675
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1200499-SUPV Issued in OH
Practice address
225 Main St
Belpre, OH 45714-1691
Phone
(740) 401-3088
Fax
(304) 428-3719
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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 E.1200499-SUPV OH Primary

Addresses

Primary practice location

225 Main St
Belpre, OH 45714-1691

Mailing address

225 Main St
Belpre, OH 45714-1691
Phone (740) 401-3088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240405001730 OH Practitioner - Mental Health Counselor 5395183610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River City Psychiatry LLCGroup PAC ID 6709234438, 7 clinicians

Practice addresses (Care Compare)

1085 Joe Skinner Rd
Belpre, OH 45714-9488
Phone (740) 371-4676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1200499-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
River City Psychiatry, LLC CurrentSince Jun 17, 2024 Accepting new patients
Counseling & Wellness Center-Oh LLC Mental Health CurrentSince Mar 2, 2024 Accepting new patients

Locations

1085 Joe Skinner Rd
Belpre, OH 45714
Phone (740) 371-4676

Organizations & group practices 2

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1700345675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MAIN ST",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141691",
            "telephone_number": "740-401-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAIN ST",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141691",
            "telephone_number": "740-401-3088",
            "fax_number": "304-428-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "TRACY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1200499-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

Verify at the official NPI Registry.