Heidi Tracey, MA, CAS, LGPC, NCSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP12742 Issued in MD

Practice address

58 Millhaven CT
Edgewater, MD 21037-1825

Phone

(443) 808-1531

NPI assigned

Jun 19, 2023

Last updated

Oct 29, 2024By 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

Other names 1

• Heidi Tracey, LLC Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1720763758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 MITCHELLVILLE RD # 1224",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163112",
            "telephone_number": "443-808-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MILLHAVEN CT",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371825",
            "telephone_number": "443-808-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACEY",
        "first_name": "HEIDI",
        "credential": "MA, CAS, LGPC, NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP12742",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MD",
            "license": "CER81316Q8M6T9",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "TRACEY, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Edgewater, MD
• Providers in Edgewater, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.