Individual provider Active NPI

Tracie Lynn Perrine, LPC

  • Mental Health Counselor
  • Erie, PA
National Provider Identifier
1780906925
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC005139 Issued in PA
Practice address
5515 Peach St
Erie, PA 16509-2603
Phone
(814) 864-4031
NPI assigned
Feb 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC005139 PA Primary

Addresses

Primary practice location

5515 Peach St
Erie, PA 16509-2603

Mailing address

1 Lecom PL
Erie, PA 16505-2571
Phone (814) 868-2529

Other practice location 1

4740 Peach St
Erie, PA 16509-2008
Phone (814) 454-3174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240727000039 PA Practitioner - Mental Health Counselor 2961875240 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millcreek Community HospitalGroup PAC ID 8426020173, 67 clinicians

Practice addresses (Care Compare)

2222 W Grandview Blvd
Erie, PA 16506-4508
Phone (814) 454-3174

4740 Peach St
Erie, PA 16509-2008
Phone (814) 454-3174

537 W 18TH St
Plaza 18 Medical Center
Erie, PA 16502-1722
Phone (814) 456-1009

5515 Peach St
Erie, PA 16509-2603
Phone (814) 864-4031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Community Hospital CurrentSince Jul 6, 2025 Accepting new patients
Millcreek Community Hospital CurrentSince Apr 27, 2024 Accepting new patients
Millcreek Community Hospital CurrentSince Jun 16, 2025 Accepting new patients
Millcreek Community Hospital CurrentSince Apr 27, 2024 Accepting new patients
Millcreek Community Hospital Current Accepting new patients
Millcreek Community Hospital Mental Health CurrentSince Mar 13, 2026 Accepting new patients

Locations

537 W 18th St
Erie, PA 16502
Phone (814) 454-3174

1 Lecom Pl
Erie, PA 16505

4740 Peach St
Erie, PA 16509
Phone (814) 454-3174

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

537 W 18th St
#18
Erie, PA 16502
Phone (814) 456-1009

2222 W Grandview Blvd
Erie, PA 16506
Phone (814) 454-3174

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1780906925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "telephone_number": "814-868-2529",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603",
            "telephone_number": "814-864-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4740 Peach St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165092008",
            "country_code": "US",
            "telephone_number": "814-454-3174",
            "fax_number": "814-616-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRINE",
        "first_name": "TRACIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.