Active NPI
Tracie Jeanne Ford, LPCC
- Professional Counselor
- Chagrin Falls, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C0800429
- Practice address
- 516 Washington St Ste E
Chagrin Falls, OH 44022-4402 - Phone
- (216) 219-0374
- NPI assigned
- Dec 19, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.2505266 | OH | |
| Professional Counselor | 101YP2500X | C0800429 | OH | Primary |
Addresses
Primary practice location
516 Washington St Ste E
Chagrin Falls, OH 44022-4402
Mailing address
552 Bluejay TRL
Macedonia, OH 44056-2118
Other practice location 1
8500 Station St Ste 102
Mentor, OH 44060-4968
Phone (216) 219-0374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13940 Cedar Rd
Suite 206
University Heights, OH 44118-3204
21887 Lorain Rd
Suite 226
Fairview Park, OH 44126-3330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0800429 | OH | MD | Professional Counselor |
| E.2505266 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfulness-Counseling | Professional | Current | Accepting new patients |
Locations
3109 Mayfield Rd
Ste 204
Cleveland Hts, OH 44118
Phone (440) 591-4366
8500 Station St
Ste 102
Mentor, OH 44060
Phone (216) 219-0374
13940 Cedar Rd
University Hts, OH 44118
Phone (216) 213-6738
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
- Cleveland HTS, OH
- NPI 1982947859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1891201448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "552 BLUEJAY TRL",
"city": "MACEDONIA",
"state": "OH",
"postal_code": "440562118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 WASHINGTON ST STE E",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440224402",
"telephone_number": "216-219-0374"
}
],
"practiceLocations": [
{
"address_1": "8500 Station St Ste 102",
"address_purpose": "LOCATION",
"city": "Mentor",
"state": "OH",
"postal_code": "440604968",
"country_code": "US",
"telephone_number": "216-219-0374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORD",
"first_name": "TRACIE",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-19",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2505266",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C0800429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chagrin Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.