Active NPI
Tracey N Marshall, NCC, LPC
- Counselor
- Clinton, MS
National Provider Identifier
1891121844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1815
- Practice address
- 90 W Lakeview Dr.
Clinton, MS 39056-5266 - Phone
- (166) 258-6181
- Fax
- (769) 241-0062
- NPI assigned
- Sep 23, 2013
- Last updated
- Aug 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1815 | MS | Primary |
Addresses
Primary practice location
90 W Lakeview Dr.
Clinton, MS 39056-5266
Mailing address
PO Box 1142
Clinton, MS 39060-1142
Phone (601) 622-6260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1815 | MS | MD | Kinesiotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purplebutterfly, LLC | Counselor | Current | Accepting new patients |
Locations
90 Lakeview Dr
Clinton, MS 39056
Phone (662) 586-1815
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, 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": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1891121844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1142",
"city": "CLINTON",
"state": "MS",
"postal_code": "390601142",
"telephone_number": "601-622-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 W LAKEVIEW DR.",
"city": "CLINTON",
"state": "MS",
"postal_code": "390565266",
"telephone_number": "166-258-6181",
"fax_number": "769-241-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "TRACEY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-23",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "1815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.