Organization Active NPI

Tracie Schardein, LLC

Doing business as Guided Growth Counseling Center

  • Clinic/Center
  • Abilene, KS
National Provider Identifier
1881477396
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TRACIE SCHARDEIN, LLC
Doing business as
Guided Growth Counseling Center
Practice address
102 S Van Buren St
Abilene, KS 67410-3705
Phone
(785) 992-0275
NPI assigned
Aug 17, 2023
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Tracie SchardeinNPI 1316720808
Title
Owner
Phone
(785) 992-0275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

102 S Van Buren St
Abilene, KS 67410-3705

Mailing address

102 S Van Buren St
Abilene, KS 67410-3705
Phone (785) 992-0275

Other names 1

  • Guided Growth Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240311003160 KS Part B Supplier - Clinic/Group Practice 7911343157 Receives reassigned benefits from 1 practitioner
Practice locations: Abilene, KS

National Provider Directory

National Provider Directory

Locations

102 S Van Buren St
Abilene, KS 67410
Phone (785) 992-0275

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1881477396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S VAN BUREN ST",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674103705",
            "telephone_number": "785-992-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S VAN BUREN ST",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674103705",
            "telephone_number": "785-992-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACIE SCHARDEIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "SCHARDEIN",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-992-0275"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guided Growth Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abilene, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.