Mary Lynn Tracy-Heusner, BA, MA, PHD, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC25900 Issued in CA

Practice address

133 D St
Suite J
Davis, CA 95616-4695

Phone

(530) 758-4113

Fax

(530) 758-4113

NPI assigned

Jul 13, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Master of Arts, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760407191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 D ST",
            "address_2": "SUITE J",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164695",
            "telephone_number": "530-758-4113",
            "fax_number": "530-758-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 D ST",
            "address_2": "SUITE J",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164695",
            "telephone_number": "530-758-4113",
            "fax_number": "530-758-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY-HEUSNER",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "BA, MA, PHD, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC25900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lee Tomkins, M.D.
• Andrew Ying Cheung Tong, DMD
• Galilea Torres
• Lizette Izamar Neri Torres, PPS
• Taylor Torres, ED.S., PPS
• Amy An Tran
• Andrew Tran
• Sang Tran, DDS
• Abby Traxler
• William Jack Treguboff, MFT

• Mental Health Counselor in Davis, CA
• Providers in Davis, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.