NPIMap

Organization Active NPI

Tracys Residential Re Entry Center Inc

  • Professional Counselor
  • Lexington, KY
National Provider Identifier
1932823929
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TRACYS RESIDENTIAL RE ENTRY CENTER INC
Practice address
1365 Devonport Dr
Lexington, KY 40504-1552
Phone
(859) 309-2240
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Miss Chiquita ShieldsNPI 1184350050
Title
President/Director
Phone
(859) 229-8027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1365 Devonport Dr
Lexington, KY 40504-1552

Mailing address

1365 Devonport Dr
Lexington, KY 40504-1512
Phone (859) 309-2240

Other practice location 1

2375 Professional Heights Dr Ste 210
Lexington, KY 40503-3040
Phone (859) 303-5505

Other identifiers 2

IdentifierTypeStateIssuer
800505OtherKYCHFS
811063OtherKYCOMMONWEALTH OF KENTUCKY, CABINET FOR HEALTH AND FAMILY SERVICES

Other names 2

  • Tracy's House Doing business as
  • Unbridled Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

1365 Devonport Dr
Lexington, KY 40504
Phone (859) 229-8027

519 Hampton Way
Ste 8
Richmond, KY 40475
Phone (859) 825-6872

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1932823929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 DEVONPORT DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041512",
            "telephone_number": "859-309-2240",
            "fax_number": "859-800-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 DEVONPORT DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041552",
            "telephone_number": "859-309-2240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2375 Professional Heights Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405033040",
            "country_code": "US",
            "telephone_number": "859-303-5505",
            "fax_number": "859-800-5261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRACYS RESIDENTIAL RE ENTRY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "CHIQUITA",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "859-229-8027",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHFS",
            "identifier": "800505",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF KENTUCKY, CABINET FOR HEALTH AND FAMILY SERVICES",
            "identifier": "811063",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracy's House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unbridled Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.