Active NPI
Tracey L Atkinson, MS
- Professional Counselor
- Juneau, WI
National Provider Identifier
1962761262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5864-125
- Practice address
- 199 County Road DF FL 3
Juneau, WI 53039-9512 - Phone
- (920) 386-3816
- Fax
- (920) 386-4564
- NPI assigned
- May 8, 2012
- Last updated
- Jul 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1270-226 | WI | |
| Professional Counselor | 101YP2500X | 5864-125 | WI | Primary |
Addresses
Primary practice location
199 County Road DF FL 3
Juneau, WI 53039-9512
Mailing address
514 S Main St Apt 105
Deerfield, WI 53531-9413
Phone (608) 898-3154
Other practice location 1
514 S Main St Apt 105
Deerfield, WI 53531-9413
Phone (088) 983-1546
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1270-226 | WI | MD | Professional Counselor |
| 5864-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Green | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Green County Human Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monroe, WI
- NPI 1992925085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1962761262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 S MAIN ST APT 105",
"city": "DEERFIELD",
"state": "WI",
"postal_code": "535319413",
"telephone_number": "608-898-3154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 COUNTY ROAD DF FL 3",
"city": "JUNEAU",
"state": "WI",
"postal_code": "530399512",
"telephone_number": "920-386-3816",
"fax_number": "920-386-4564"
}
],
"practiceLocations": [
{
"address_1": "514 S Main St Apt 105",
"address_purpose": "LOCATION",
"city": "Deerfield",
"state": "WI",
"postal_code": "535319413",
"country_code": "US",
"telephone_number": "088-983-1546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATKINSON",
"first_name": "TRACEY",
"middle_name": "L",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-08",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "1270-226",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5864-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juneau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.