Active NPI
Tracy Lee
- Child Mental Illness Respite Care
- Newark, OH
National Provider Identifier
1750258257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Mental Illness Respite Care
- Practice address
- 168 S 6TH St
Newark, OH 43055-4912 - Phone
- (740) 899-1119
- NPI assigned
- Oct 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | OH | Primary |
Addresses
Primary practice location
168 S 6TH St
Newark, OH 43055-4912
Mailing address
168 S 6TH St
Newark, OH 43055-4912
Phone (740) 899-1119
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1750258257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 S 6TH ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430554912",
"telephone_number": "740-899-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 S 6TH ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430554912",
"telephone_number": "740-899-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TRACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.