Active NPI
Tracie Lynn Perrine, LPC
- Mental Health Counselor
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC005139
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Hospital
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millcreek Community Hospital | Current | Accepting new patients | |
| Millcreek Community Hospital | Current | Accepting new patients | |
| Millcreek Community Hospital | Current | Accepting new patients | |
| Millcreek Community Hospital | Current | Accepting new patients | |
| Millcreek Community Hospital | Current | Accepting new patients | |
| Millcreek Community Hospital | Mental Health | Current | 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.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1548263973
-
- Family Medicine Physician
- Erie, PA
- NPI 1053198382
-
- Sports Medicine (Family Medicine) Physician
- Erie, PA
- NPI 1174158737
-
- Psychiatric Hospital Unit
- Erie, PA
- NPI 1205832334
-
- Internal Medicine Physician
- Erie, PA
- NPI 1245126762
-
- Rehabilitation Hospital Unit
- Erie, PA
- NPI 1245676345
-
- Cardiovascular Disease Physician
- Erie, PA
- NPI 1245865583
-
- Internal Medicine Physician
- Erie, PA
- NPI 1275310591
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.