Individual provider Active NPI

Tracie M Holder, MA, LPC, NCC, RPT

  • Professional Counselor
  • Lees Summit, MO
National Provider Identifier
1740918739
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021030529 Issued in MO
Practice address
521 SW Tower Park Dr Apt 313
Lees Summit, MO 64081-2522
Phone
(816) 914-2387
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2021030529 MO Primary

Addresses

Primary practice location

521 SW Tower Park Dr Apt 313
Lees Summit, MO 64081-2522

Mailing address

521 SW Tower Park Dr Apt 313
Lees Summit, MO 64081-2522
Phone (816) 914-2387

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.jituzu.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1643 NW 136 Ave
Sunrise, FL 33323-2857

1643 Nw136 Ave
BLDG H Suite 100
Sunrise, FL 33323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2021030529MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1740918739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 SW TOWER PARK DR APT 313",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812522",
            "telephone_number": "816-914-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 SW TOWER PARK DR APT 313",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812522",
            "telephone_number": "816-914-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "TRACIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, NCC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021030529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.jituzu.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "appointments, fees, contact",
            "address_1": "1320 NE Windsor Dr",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640868477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.