Traci L Eichin, LCDC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

74155 Issued in TX

Practice address

4721 Royal Oak Dr
San Angelo, TX 76904-4514

Phone

(325) 374-8929

NPI assigned

Aug 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional, TX

  Medicare reassignment NPD
• Lamplighter Counseling PLLC

  • Professional Counselor
  • San Angelo, TX
  • NPI 1396466009
  NPD Authorized official

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1982185351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 ROYAL OAK DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769044514",
            "telephone_number": "325-374-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 ROYAL OAK DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769044514",
            "telephone_number": "325-374-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHIN",
        "first_name": "TRACI",
        "middle_name": "L",
        "credential": "LCDC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Education Service Center
• Education Service Center Region XV
• Anna Jo Edwards
• Kristy D Edwards, MD
• Mark S Edwards, MD
• Reese R Elder
• Elisabeth Noelke MD PA
• Carrie Elkins, LPC
• Brooke Elliott, LCSW
• Bryan Mitchell Elliott, LPC, LMFT

• Professional Counselor in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.