Active NPI
Tracey Joy Richard, LMHC
- Mental Health Counselor
- Brockton, MA
National Provider Identifier
1932564150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9295
- Practice address
- Good Samaritan Medical Center
235 North Pearl Street
Brockton, MA 02302-3308 - Phone
- (508) 427-2420
- Fax
- (508) 427-3363
- NPI assigned
- Dec 16, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9295 | MA | Primary |
Addresses
Primary practice location
Good Samaritan Medical Center
235 North Pearl Street
Brockton, MA 02302-3308
Mailing address
Good Samaritan Medical Center
235 North Pearl Street
Brockton, MA 02302-3308
Phone (508) 427-2420
Other names 1
- Miss Tracey Joy Bartholomew
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tracey.richard@steward.org | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9295 | MA | MD | Physical Therapist |
Interoperability endpoints
- tracey.richard@steward.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1932564150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GOOD SAMARITAN MEDICAL CENTER",
"address_2": "235 NORTH PEARL STREET",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023308",
"telephone_number": "508-427-2420",
"fax_number": "508-427-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GOOD SAMARITAN MEDICAL CENTER",
"address_2": "235 NORTH PEARL STREET",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023308",
"telephone_number": "508-427-2420",
"fax_number": "508-427-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "TRACEY",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-16",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "9295",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Tracey.richard@steward.org",
"affiliation": "N",
"endpointDescription": "Professional Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "15 Old Center St",
"city": "Middleboro",
"state": "MA",
"country_code": "US",
"postal_code": "023461019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TRACEY",
"last_name": "BARTHOLOMEW",
"middle_name": "JOY",
"prefix": "MISS",
"credential": "LMHC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.