Individual provider Active NPI

Tracy Springate, LPCC

  • Professional Counselor
  • Lexington, KY
National Provider Identifier
1720698897
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
279107 Issued in KY
Practice address
713 Millpond Rd Ste B3
Lexington, KY 40514-1571
Phone
(859) 309-2877
Fax
(859) 368-0018
NPI assigned
Aug 4, 2020
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 264077 KY
Mental Health Counselor 101YM0800X 279107 KY
Professional Counselor 101YP2500X 279107 KY Primary

Addresses

Primary practice location

713 Millpond Rd Ste B3
Lexington, KY 40514-1571

Mailing address

713 Millpond Rd Ste B3
Lexington, KY 40514-1571
Phone (859) 309-2877

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmspringate@kvc.org Direct

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

LicenseStateTypeSpecialty
264077KYMDMental Health Counselor
279107KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Trauma-Informed Counseling Center LLC Professional CurrentSince Aug 28, 2022 Accepting new patients

Locations

713 Millpond Rd
Ste B3
Lexington, KY 40514
Phone (859) 309-2758

Organizations & group practices 1

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1720698897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 MILLPOND RD STE B3",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141571",
            "telephone_number": "859-309-2877",
            "fax_number": "859-368-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 MILLPOND RD STE B3",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141571",
            "telephone_number": "859-309-2877",
            "fax_number": "859-368-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGATE",
        "first_name": "TRACY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "264077",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "279107",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "279107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmspringate@kvc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "750 Shaker Dr Apt 202",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405043725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.