Tracie J. Corle, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-4789 Issued in ID

Practice address

834 Falls Ave Ste 1050
Twin Falls, ID 83301-3363

Phone

(208) 736-0995

Fax

(208) 736-0999

NPI assigned

Sep 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Tracie Jeanne Elliott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jolliff Counseling & Behavioral Health

  • Community/Behavioral Health Agency
  • Twin Falls, ID
  • NPI 1265892780
  NPD (past)
• Jolliff Counseling & Behavioral Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Twin Falls, ID
  • NPI 1306885744
  NPD (past)

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1922357672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 FALLS AVE STE 1050",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013363",
            "telephone_number": "208-736-0995",
            "fax_number": "208-736-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 FALLS AVE STE 1050",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013363",
            "telephone_number": "208-736-0995",
            "fax_number": "208-736-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLE",
        "first_name": "TRACIE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "ELLIOTT",
            "middle_name": "JEANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Coralyn J Alexander MD PA
• Coralyn J Alexander MD PA
• Neil Patrick Corbett, DO
• Corbin Chiropractic
• Shawna Cordova, PHARMD
• Jessica Cornell, MS
• Cornerstone Caregiving West LLC
• Jennifer Merlaine Cornie
• John Brandon Cory, CRNA
• Corylus Care LLC

• Professional Counselor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.