TRACEY LITTLE (NPI# 1083106900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083106900 |
| Entity Type | Individual |
| Full Name | TRACEY LITTLE |
| Practice Address |
126 Washington Ave Bay City MI 48708-5846 |
| Mailing Address |
443 N State St Caro MI 48723-1539 |
| Practice Telephone | 9896847977 |
| Practice Fax Number | 9896844331 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184055907 | Tracey Little | Specialist | 14 Research Way, East Setauket, NY 11733-3453 | 2013-12-04 |
| 1558646448 | Tracey D Little | Counselor | 11835 Queens Blvd, Ste 400, Forest Hills, NY 11375-7200 | 2011-10-11 |
| 1932333887 | Tracey Little | Social Worker | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2009-05-06 |
| Street Address |
126 WASHINGTON AVE |
| City | BAY CITY |
| State | MI |
| Zip Code | 48708-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346299294 | Blair Devlin | Counselor | 126 Washington Ave, Bay City, MI 48708-5846 | 2006-05-09 |
| 1073121133 | Sarah Verhaeghe | Social Worker | 126 Washington Ave, Bay City, MI 48708-5846 | 2020-07-15 |
| 1598383440 | Jazmine V Powell | Social Worker | 126 Washington Ave, Bay City, MI 48708-5846 | 2020-07-08 |
| 1144861733 | Cassen Gates | Counselor | 126 Washington Ave, Bay City, MI 48708 | 2019-10-04 |
| 1255987798 | Inez Williams | Counselor | 126 Washington Ave, Bay City, MI 48708-5846 | 2019-08-12 |
| 1598271546 | Barbara Maldonado | Specialist | 126 Washington Ave, Bay City, MI 48708-5846 | 2017-12-28 |
| 1346759503 | Laura Kukla | Counselor | 126 Washington Ave, Bay City, MI 48708-5846 | 2017-09-20 |
| 1265951677 | Lisa Cardinalli | Social Worker | 126 Washington Ave, Bay City, MI 48708-5846 | 2017-09-18 |
| 1467802744 | Sondra Kern | Counselor | 126 Washington Ave, Bay City, MI 48708-5846 | 2016-06-16 |
| 1417305285 | Kaitlyn Nicole Ockerman | Social Worker | 126 Washington Ave, Bay City, MI 48708-5846 | 2016-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370399 | Francine Marie Dixon | Pharmacist | 1800 Columbus Ave Ste P, Bay City, MI 48708 | 2020-06-16 |
| 1417578261 | Kassie L Pagliughi | Counselor | 1100 N. Grant Street, Bay City, MI 48708 | 2020-05-04 |
| 1346711694 | Connie Lynn Mossner | Physical Therapy Assistant | 2112 16 Th Street, Ste 7, Bay City, MI 48708 | 2018-12-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
| 1447610001 | Jeffrey M Hunt | Nurse Practitioner | 714 S. Trumbull St., Bay City, MI 48708 | 2016-02-25 |
| 1457762437 | Asim Malik | Emergency Medicine | 1900 Columbus Ave # B203, Bay City, MI 48708 | 2014-05-13 |
| 1538584768 | Sarah R. Vanparis | Registered Nurse | 1010 N. Madison, Bay City, MI 48708 | 2014-02-25 |
| 1033549316 | Melissa Rood | Case Manager/Care Coordinator | 1001 Mulholland, Bay City, MI 48708 | 2013-11-22 |
| 1528498953 | Shannon Rae Ogg | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708 | 2013-11-21 |
| Find all providers in zip 48708 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469509 | Creative Holistic Services LLC | Counselor | 420 Jennison St, Bay City, MI 48708-7846 | 2020-02-15 |
| 1023599305 | Lucy Beth May | Counselor | 2500 Avenue E, Bay City, TX 77414-6006 | 2018-08-24 |
| 1568887800 | Linda Parent | Counselor | 5554 Spring Knoll Dr, Bay City, MI 48706-3179 | 2014-02-24 |
| 1801199898 | Sherry Baker | Counselor | 601 N. Vanburen Street, Bay City, MI 48708-0000 | 2010-12-13 |
| 1467780841 | Gary Dean Roth | Counselor | 126 Washington Avenue, Bay City, MI 48708-5846 | 2009-11-24 |
| 1952595597 | Susan Elizabeth Lyon | Counselor | 3741 Wilder Rd Ste A, Bay City, MI 48706-2343 | 2007-08-28 |
| 1255541702 | Robert J Kohn | Counselor | 1300 S Grant St, Bay City, MI 48708-8058 | 2007-05-23 |
| 1861534083 | Elizabeth S Wright | Counselor | 400 Avenue F, Bay City, TX 77414-4102 | 2007-02-13 |
| 1790703502 | Mpa Group Ltd | Counselor | 1217 S Euclid Ave, Bay City, MI 48706 | 2006-07-18 |
| 1144861733 | Cassen Gates | Counselor | 126 Washington Ave, Bay City, MI 48708 | 2019-10-04 |
| Find all providers in BAY CITY | ||||
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| 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.