Individual provider Active NPI

Traci J Marrero, MA, LPC, CPAS, CAMT

  • Professional Counselor
  • Hinesville, GA
National Provider Identifier
1881452209
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC016493 Issued in GA
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

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325000686 GA Practitioner - Mental Health Counselor 2961986161 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LPC016493GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Darsey, Black & Associates Professional CurrentSince Mar 17, 2024 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.

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

Verify at the official NPI Registry.