Tracy Conroy

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1315 Curt Dr Ste a
Champaign, IL 61821-1168

Phone

(217) 352-5179

NPI assigned

Apr 16, 2024

Sex

Unspecified or another gender identity

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1801640792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 LAWNDALE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618214620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 CURT DR STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618211168",
            "telephone_number": "217-352-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Douglas Compton, MS, LAT, ATC
• Lindsey Ann Comstock, APRN
• Confidentially Yours, Inc
• Madison L Conklen
• David P Conner, MD
• Constructive Changes Licensed Clinical Social Worker Services
• Alicia Cook, LPC
• Ashley Cook, RBT
• Tara L Cook, LCSW
• Kahlilah Cooke, RN, BS, CLC

• All providers in Champaign, IL
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.