Tracie Cole, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2607 Lake Park BND
Acworth, GA 30101-6888

Phone

(770) 539-0104

NPI assigned

Aug 5, 2013

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

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1871925586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 LAKE PARK BND",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016888",
            "telephone_number": "770-539-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 LAKE PARK BND",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016888",
            "telephone_number": "770-539-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "TRACIE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinica Santa Maria LLC
• CLJ Healthcare, LLC
• Sarah Baylee Cochran, OT
• Emily Rose Coffin, SLP
• Patricia E Cohen, DC
• Brianna Coleman, OTR/L
• Community Ancillary Services, Inc.
• Community Counseling, Inc.
• Complete Care Family Medicine Clinic LLC
• Comprehensive Family and Community Services, Limited

• All providers in Acworth, GA
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.