TRACY BRENTON (NPI# 1033462627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033462627 |
| Entity Type | Individual |
| Full Name | TRACY BRENTON |
| Credential | LCPC |
| Practice Address |
14450 Hanover Pike Reisterstown MD 21136 |
| Mailing Address |
2227 Old Emmorton Rd Suite 119 Bel Air MD 21015-6187 |
| Practice Telephone | 4105699497 |
| Practice Fax Number | 4105690094 |
| Mailing Telephone | 4105609497 |
| Mailing Fax Number | 4105690094 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC4717 | MD | Behavioral Health & Social Service Providers |
| Street Address |
14450 HANOVER PIKE |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841663457 | Safe Harbor Christian Counseling | Psychologist | 14450 Hanover Pike, Reisterstown, MD 21155 | 2015-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| 1255662896 | Jung S Kim | Acupuncturist | 26 Bellinger Ct., Reisterstown, MD 21136 | 2010-01-21 |
| Find all providers in zip 21136 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750797841 | Rebecca Harrison Radcliffe | Counselor | 143 Main St Rear Building, Reisterstown, MD 21136-1252 | 2014-07-09 |
| 1093066391 | Marsha Ann Swilley | Counselor | 520 Education Way, Reisterstown, MD 21136-6041 | 2012-09-26 |
| 1700104106 | Holly R Wade | Counselor | 36 Farm Gate Way, Reisterstown, MD 21136-1125 | 2010-05-10 |
| 1578106704 | Philip Browning | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2019-10-21 |
| 1336635515 | Tijana Jirecek | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2018-07-10 |
| 1801306139 | Patricia Estes | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2017-09-29 |
| 1598283285 | Kaitlin Alexandra Ames | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2017-09-02 |
| 1134678154 | Caroline Anne Cinquino Miller | Counselor | 239 Main St, Reisterstown, MD 21136 | 2016-10-03 |
| 1871947606 | Mika Renee Singer | Counselor | 100 Owings Ct Ste 12, Reisterstown, MD 21136-6434 | 2016-04-18 |
| 1750624490 | Lisa Lorenz | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2013-04-01 |
| Find all providers in REISTERSTOWN | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
Please comment or provide details below to improve the information on TRACY BRENTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.