Individual provider Active NPI

Tracie Jeanne Ford, LPCC

  • Professional Counselor
  • Chagrin Falls, OH
National Provider Identifier
1891201448
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C0800429 Issued in OH
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

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814001201 OH Practitioner - Mental Health Counselor 4688173016 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
C0800429OHMDProfessional Counselor
E.2505266OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfulness-Counseling Professional CurrentSince Jul 1, 2025 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.

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

Verify at the official NPI Registry.