Tracy Berry, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.188864 Issued in OH

Practice address

282 Stelton Rd
Xenia, OH 45385-5220

Phone

(937) 708-8348

NPI assigned

Jul 18, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Her Story, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Springfield, OH
  • NPI 1164194478
  NPD
• Her Story, Inc

  • Community/Behavioral Health Agency
  • Springfield, OH
  • NPI 1841901337
  NPD

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1992543409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453850212",
            "telephone_number": "937-708-8348",
            "fax_number": "937-660-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 STELTON RD",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453855220",
            "telephone_number": "937-708-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "TRACY",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.188864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bennett, LCDC II
• Brandon Benning Jr.
• Marc M Benoit, CPRS
• Morgan Bernard
• Salimah Berrien
• Better Together Family Center
• Rosalie Barath Beverly, M.D.
• Rebecca Sue Bickett, LPN
• Emma Biermann
• Alexandria Bilbrey

• Addiction (Substance Use Disorder) Counselor in Xenia, OH
• Providers in Xenia, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.