Tracy Elizabeth Carmody, MS, LMHC, NCC, CASAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

004833 Issued in NY

Practice address

112 Dewitt St
Ste 205a
Syracuse, NY 13203-2890

Phone

(315) 719-7117

NPI assigned

Feb 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 25, 2024 through Jun 25, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Paths to Recovery Mental Health Counseling PLLC

  • Mental Health Counselor
  • Baldwinsville, NY
  • NPI 1922613801
  NPD Authorized official

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348358400000",
    "number": "1770856502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 DEWITT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032890",
            "telephone_number": "315-719-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 DEWITT ST",
            "address_2": "STE 205A",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032890",
            "telephone_number": "315-719-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMODY",
        "first_name": "TRACY",
        "middle_name": "ELIZABETH",
        "credential": "MS, LMHC, NCC, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "004833",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "22841",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond J Carlson, M.D.
• Lissa Carlton, LCSW
• Lauren Carlyle, MD
• Wendy J Carman, L.C.S.W.
• Kelly Carmichael, R.N.
• Jodie Danielle Carncross, FNP-C
• Madison Carney, RN, BSN
• Rachel Carnicelli, FNP
• Chelsea Sauve Carnie, PA
• David E Carnie, D.MIN. LMHC

• Counselor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.