Tracy Freitas, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PCC008501 Issued in PA

Practice address

1825 E Lincoln Hwy
Coatesville, PA 19320-2407

Phone

(610) 466-9250

NPI assigned

Aug 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tracy Rappold Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Treatment Systems, LLC

  • Methadone Clinic
  • Coatesville, PA
  • NPI 1093867483
  NPD (past)
• Advanced Treatment Systems, LLC

  • Methadone Clinic
  • Lebanon, PA
  • NPI 1700996790
  NPD (past)

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1760037196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202407",
            "telephone_number": "610-466-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAS",
        "first_name": "TRACY",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PCC008501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "RAPPOLD",
            "credential": "MS, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Brian E Fritz, CRNA
• Malisa Jayne Fritz, REGISTERED NURSE

• All providers in Coatesville, PA
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.