Individual provider Active NPI

Tracye Love Chandler, LPC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1700822954
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2466 Issued in OK
Practice address
616 S Boston Ave Ste 302
Tulsa, OK 74119-1210
Phone
(918) 829-3581
Fax
(918) 380-0096
NPI assigned
Jun 22, 2006
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X 2466 OK Primary

Addresses

Primary practice location

616 S Boston Ave Ste 302
Tulsa, OK 74119-1210

Mailing address

1913 E 66TH St
Tulsa, OK 74136-2421
Phone (918) 810-6852

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
Achieve Withus Staffing, Inc CurrentSince Apr 9, 2024 Accepting new patients
Palmer Continuum of Care, Inc. PastSince Sep 20, 2020 Accepting new patients

Locations

616 S Boston Ave
Ste 302
Tulsa, OK 74119
Phone (918) 829-3581

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, 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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1700822954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 E 66TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741362421",
            "telephone_number": "918-810-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S BOSTON AVE STE 302",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741191210",
            "telephone_number": "918-829-3581",
            "fax_number": "918-380-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE CHANDLER",
        "first_name": "TRACYE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.