Individual provider Active NPI

Tracey Klein

  • Mental Health Counselor
  • Rio Grande City, TX
National Provider Identifier
1710353404
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
71618 Issued in TX
Practice address
114 W El Paseo Dr
Rio Grande City, TX 78582-4009
Phone
(956) 207-9894
NPI assigned
Aug 17, 2015
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 71618 TX Primary
Professional Counselor 101YP2500X 71618 TX

Addresses

Primary practice location

114 W El Paseo Dr
Rio Grande City, TX 78582-4009

Mailing address

114 W El Paseo Dr
Rio Grande City, TX 78582-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260319004048 TX Practitioner - Mental Health Counselor 4284118951 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
Telehealth
Offers telehealth services
Group practices
Texas Health Virtual CareGroup PAC ID 5991176356, 40 clinicians

Practice addresses (Care Compare)

240 N Miller Rd
Mansfield, TX 76063-5842
Phone (214) 432-8322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71618TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Assurasource LTD Professional CurrentSince Mar 13, 2026 Accepting new patients

Locations

400 N Allen Dr
Ste 204
Allen, TX 75013

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1710353404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W EL PASEO DR",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785824009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W EL PASEO DR",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785824009",
            "telephone_number": "956-207-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "TRACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71618",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.