TRACY GARRISON (NPI# 1144643974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144643974 |
| Entity Type | Individual |
| Full Name | TRACY GARRISON |
| Credential | CASAC |
| Practice Address |
262 Woodward Ave Kenmore NY 14217-1539 |
| Practice Telephone | 7164494839 |
| Mailing Telephone | 7164394839 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 16880 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1280 Main St, Buffalo, NY 142091912 | 7168845797 | 7168820293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407240468 | Tracy Garrison | Speech-Language Pathologist | 142 Kaden Creek Pl, Montgomery, TX 77316-2126 | 2015-03-26 |
| 1487128211 | Tracy Lynette Garrison | Counselor | 1 Mustard St, Rochester, NY 14609-6980 | 2019-01-15 |
| Street Address |
262 WOODWARD AVE |
| City | KENMORE |
| State | NY |
| Zip Code | 14217-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276141 | Kenny Smith | Marriage & Family Therapist | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2020-08-17 |
| 1164049284 | Latoya Kimberly Slew-ngarambe | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2020-07-06 |
| 1558985002 | Thomas Earl Lewis Jr. | Case Manager/Care Coordinator | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2020-06-01 |
| 1699398099 | Alexis M Dwyer | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2020-05-20 |
| 1669003604 | Desiree Carol Mozee-harris | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2020-01-29 |
| 1770120214 | George Edward Stokes Jr. | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-12-03 |
| 1932743960 | Jordan Yamonaco | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-11-02 |
| 1871140426 | Yvon Serge Dimiyo | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-08-19 |
| 1316509284 | Christian Josue Lopez | Peer Specialist | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-07-01 |
| 1629637723 | William Harris | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
| Find all providers in zip 14217 | ||||
| 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 |
|---|---|---|---|---|
| 1922660596 | Jo Ann Brown | Counselor | 16438 85th Pl Ne, Kenmore, WA 98028-1605 | 2019-07-03 |
| 1194272005 | Aliya Gilmore | Counselor | 18537 68th Ave Ne, Kenmore, WA 98028-2604 | 2016-09-08 |
| 1700249075 | Elizabeth Scranton Hunter | Counselor | 7804 Ne 183rd St, Kenmore, WA 98028-2718 | 2016-04-03 |
| 1285243980 | Cameron Christian Lewis | Counselor | 14500 Juanita Dr Ne, Kenmore, WA 98028-4966 | 2020-07-28 |
| 1871102814 | Meghan Sue Scott | Counselor | 2495 Elmwood Ave, Kenmore, NY 14217-2222 | 2020-07-27 |
| 1699398099 | Alexis M Dwyer | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2020-05-20 |
| 1770120214 | George Edward Stokes Jr. | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-12-03 |
| 1932743960 | Jordan Yamonaco | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-11-02 |
| 1871140426 | Yvon Serge Dimiyo | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-08-19 |
| 1629637723 | William Harris | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-06-12 |
| Find all providers in KENMORE | ||||
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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.