Individual provider Active NPI

Tracye Lynne Garrett-Herndon, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Washington, DC
National Provider Identifier
1851803043
Registry record updated Oct 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
SC1230 Issued in MD
Practice address
4601 Connecticut Ave NW Apt 110
Washington, DC 20008-5701
Phone
(240) 476-2579
NPI assigned
Oct 29, 2017
Last updated
Oct 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 508458
Addiction (Substance Use Disorder) Counselor 101YA0400X SC1230 MD Primary
Professional Counselor 101YP2500X PRC95 DC

Addresses

Primary practice location

4601 Connecticut Ave NW Apt 110
Washington, DC 20008-5701

Mailing address

4601 Connecticut Ave NW Apt 110
Washington, DC 20008-5701
Phone (240) 476-2579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20251121000748 DC Practitioner - Mental Health Counselor 6709378300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2121 1St St SW
Unit 364
Washington, DC 20024-3568

4130 Hunt PL NE
Washington, DC 20019-3565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC1230MDMDAddiction (Substance Use Disorder) Counselor
PRC95DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mbi Health Services LLC Single Specialty CurrentSince Oct 10, 2025 Accepting new patients

Locations

4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320

7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1509235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509235200000",
    "number": "1851803043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 CONNECTICUT AVE NW APT 110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085701",
            "telephone_number": "240-476-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 CONNECTICUT AVE NW APT 110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085701",
            "telephone_number": "240-476-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT-HERNDON",
        "first_name": "TRACYE",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-29",
        "last_updated": "2017-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "508458",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "SC1230",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC95",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.