Tracie Lashane Ragland

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11967 Issued in CA

Practice address

3756 Santa Rosalia Dr
Los Angeles, CA 90008-3606

Phone

(530) 221-9911

NPI assigned

Sep 10, 2020

Last updated

Oct 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1710592340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083606",
            "telephone_number": "562-596-0050",
            "fax_number": "562-596-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083606",
            "telephone_number": "530-221-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Elm Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908021406",
            "country_code": "US",
            "telephone_number": "562-432-5322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908021402",
            "country_code": "US",
            "telephone_number": "562-432-5322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGLAND",
        "first_name": "TRACIE",
        "middle_name": "LASHANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "11967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nagesh Ragavendra, MD
• Marissa Delfin Ragaza
• Greeshma Raghavan, M.S., CCC-SLP
• Namita Raghavan
• Donald Ragland, SLP
• Lawrence Romej Rago, COUNSELOR
• Carolynn A Ragsdale, MSW
• David Sanders Ragsdale, MPP, RADT
• Fred Truman Ragsdale III, DACM, LAC
• Matthew Cosio Raguindin, PT, DPT

• Professional Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.