Tracy M Baustert
Individual provider Active NPI Professional Counselor · Oklahoma, OK
NPI 1831742741 · NPPES record last updated Mar 24, 2023
Key facts
- NPI
- 1831742741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 1600 E Hwy 66
El Reno
Oklahoma, OK 73036 - Phone
- (405) 226-1798
- NPI assigned
- Jul 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | OK | Yes |
Addresses
Primary practice location
1600 E Hwy 66
El Reno
Oklahoma, OK 73036
Mailing address
17250 N Shepard Ave
Okarche, OK 73762-2058
Phone (405) 226-1798
Other providers in Oklahoma, OK
- Taylor A. Aldridge
- Anesthesiology
- Lorenzo Araujo
- Ade A Bajulaiye
- Elsie Marie Benjamin
- Mary Boyles
- Jo Ann Cole-Johnson
- Susan Faherty
- Coley Fipps
All providers in Oklahoma, OK · Professional Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.