Tracey Ann Goerndt, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BBHLACLIC50005 Issued in MT

Practice address

120 W Towne St
Glendive, MT 59330-1702

Phone

(406) 377-2072

Fax

(406) 377-2071

NPI assigned

Oct 20, 2023

Last updated

Oct 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Another Chance Recovery, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Baker, MT
  • NPI 1326930405
  NPD Authorized official

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1801678149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593300361",
            "telephone_number": "406-377-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W TOWNE ST",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301702",
            "telephone_number": "406-377-2072",
            "fax_number": "406-377-2071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 west Montana Ave",
            "address_purpose": "LOCATION",
            "city": "Baker",
            "state": "MT",
            "postal_code": "59313",
            "country_code": "US",
            "telephone_number": "406-377-2072",
            "fax_number": "406-377-2071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOERNDT",
        "first_name": "TRACEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBHLACLIC50005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glendive Medical Center, Inc (The Heritage on Merrill Avenue)
• Glendive Medical Center, Inc
• Glendive Medical Center, Inc
• Glendive Nursing and Rehab Center, LLC
• Glendive Public Schools
• Ashley Grammens, PHARMD
• Dallin Greene, DPM
• Jack W. Haas, PA-C
• Albinus Edward Heidt, LCPC
• Cynthia Kay Heidt, LCPC

• Addiction (Substance Use Disorder) Counselor in Glendive, MT
• Providers in Glendive, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.