Active NPI
Tracy Brady
- Mental Health Counselor
- San Antonio, TX
National Provider Identifier
1700422144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 76612
- Practice address
- 1846 Lockhill Selma Rd Ste 102
San Antonio, TX 78213-1551 - Phone
- (210) 287-0424
- NPI assigned
- Nov 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 76612 | TX | Primary |
Addresses
Primary practice location
1846 Lockhill Selma Rd Ste 102
San Antonio, TX 78213-1551
Mailing address
13610 French Oaks
Helotes, TX 78023-4581
Phone (210) 287-0424
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76612 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1700422144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13610 FRENCH OAKS",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234581",
"telephone_number": "210-287-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1846 LOCKHILL SELMA RD STE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131551",
"telephone_number": "210-287-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "TRACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "76612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.