Individual provider Active NPI

Traci Lynn Klasing, LPC, LCMHC

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1871644229
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15984 Issued in NC
Practice address
1606 Harbour Dr
Wilmington, NC 28401-7716
Phone
(816) 726-7378
NPI assigned
Jan 14, 2007
Last updated
Sep 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2001033815 MO
Mental Health Counselor 101YM0800X 15984 NC Primary

Addresses

Primary practice location

1606 Harbour Dr
Wilmington, NC 28401-7716

Mailing address

4709 Archer Dr
Wilmington, NC 28409-6605
Phone (816) 726-7378

Other identifiers 1

IdentifierTypeStateIssuer
490865409MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231208000440 NC Practitioner - Mental Health Counselor 6800245440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Professional Counseling ServiceGroup PAC ID 2961865936, 5 clinicians

Practice addresses (Care Compare)

1606 Harbour Dr
Wilmington, NC 28401-7716
Phone (910) 399-1695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15984NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Professional Counseling Service Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Azalea Counseling and Assessment, PLLC PastSince Jan 29, 2023 Accepting new patients

Locations

1606 Harbour Dr
Wilmington, NC 28401
Phone (910) 399-1695

2460 Delaney Ave
Wilmington, NC 28403
Phone (910) 407-9473

Organizations & group practices 2

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": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1871644229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 ARCHER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284096605",
            "telephone_number": "816-726-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 HARBOUR DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017716",
            "telephone_number": "816-726-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLASING",
        "first_name": "TRACI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2001033815",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490865409",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.