Active NPI
Traci J Marrero, MA, LPC, CPAS, CAMT
- Professional Counselor
- Hinesville, GA
National Provider Identifier
1881452209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC016493
- Practice address
- 101 E Memorial Dr
Hinesville, GA 31313-2727 - Phone
- (912) 876-4010
- NPI assigned
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC016493 | GA | Primary |
Addresses
Primary practice location
101 E Memorial Dr
Hinesville, GA 31313-2727
Mailing address
109 Shelby Rae Rd NE
Ludowici, GA 31316-7584
Phone (912) 318-6201
Other names 1
- Traci Wheeler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
101 E Memorial Dr
Suite B
Hinesville, GA 31313-2728
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC016493 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darsey, Black & Associates | Professional | Current | Accepting new patients |
Locations
101 E Memorial Dr
Ste B
Hinesville, GA 31313
Phone (912) 876-4010
101 E Memorial Dr
Hinesville, GA 31313
Phone (912) 368-0272
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 and National Provider Directory roles.
-
- Professional Counselor
- Hinesville, GA
- NPI 1679588305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1881452209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SHELBY RAE RD NE",
"city": "LUDOWICI",
"state": "GA",
"postal_code": "313167584",
"telephone_number": "912-318-6201",
"fax_number": "912-369-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E MEMORIAL DR",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313132727",
"telephone_number": "912-876-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "TRACI",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MA, LPC, CPAS, CAMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-11",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC016493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACI",
"last_name": "WHEELER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.