Active NPI
Traci Marie Vote, IADC
- Addiction (Substance Use Disorder) Counselor
- Fort Dodge, IA
National Provider Identifier
1891420139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 18055
- Practice address
- 720 Kenyon Rd
Fort Dodge, IA 50501-5759 - Phone
- (515) 574-6156
- Fax
- (515) 576-7728
- NPI assigned
- Jul 20, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18055 | IA | Primary |
Addresses
Primary practice location
720 Kenyon Rd
Fort Dodge, IA 50501-5759
Mailing address
720 Kenyon Rd
Fort Dodge, IA 50501-5759
Phone (515) 574-6156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015968 | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://www.chart.myunitypoint.org/mychart/Authentication/Login? | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 18055 | IA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1891420139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 KENYON RD",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505015759",
"telephone_number": "515-574-6156",
"fax_number": "515-576-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 KENYON RD",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505015759",
"telephone_number": "515-574-6156",
"fax_number": "515-576-7728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOTE",
"first_name": "TRACI",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "IADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "18055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015968",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://www.chart.myunitypoint.org/mychart/Authentication/Login?",
"affiliation": "N",
"endpointDescription": "Portal for patients to exchange information with providers/staff",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "720 Kenyon Rd",
"city": "Fort Dodge",
"state": "IA",
"country_code": "US",
"postal_code": "505015759",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.