Active NPI
Tracy Lynn Palmer, LPC
- Specialist
- Mesa, AZ
National Provider Identifier
1952551210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- LPC-12995
- Practice address
- 4864 E Baseline Rd Ste 109
Mesa, AZ 85206-4629 - Phone
- (480) 744-5088
- Fax
- (480) 744-5088
- NPI assigned
- Sep 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | LPC-12995 | AZ | Primary |
| Mental Health Counselor | 101YM0800X | LPC12995 | AZ |
Addresses
Primary practice location
4864 E Baseline Rd Ste 109
Mesa, AZ 85206-4629
Mailing address
4864 E Baseline Rd Ste 109
Mesa, AZ 85206-4629
Phone (480) 744-5088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 11, 2024 through Feb 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC12995 | AZ | MD | Mental Health Counselor |
| LPC-12995 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1952551210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4864 E BASELINE RD STE 109",
"city": "MESA",
"state": "AZ",
"postal_code": "852064629",
"telephone_number": "480-744-5088",
"fax_number": "480-992-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4864 E BASELINE RD STE 109",
"city": "MESA",
"state": "AZ",
"postal_code": "852064629",
"telephone_number": "480-744-5088",
"fax_number": "480-744-5088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "TRACY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "LPC-12995",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC12995",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.