TRACY SCHRUNK (NPI# 1194277202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194277202 |
| Entity Type | Individual |
| Full Name | TRACY SCHRUNK |
| Credential | LCSW |
| Practice Address |
1277 N Rhinestone Dr Prescott AZ 86301-6802 |
| Mailing Address |
333 W Leroux St Unit H8 Prescott AZ 86303-4265 |
| Practice Telephone | 8013766298 |
| Practice Fax Number | 1866431878 |
| Mailing Telephone | 8013766298 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 294678-3501 | UT | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | LCSW-16391 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
1277 N RHINESTONE DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| 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 |
|---|---|---|---|---|
| 1124639414 | Karissa Bruce | Counselor | 141 S Mccormick St Ste 103, Prescott, AZ 86303-4730 | 2020-08-11 |
| 1205468253 | Honeybee Healing & Counseling Services, LLC | Counselor | 1490 W Gurley St Ste C, Prescott, AZ 86305-2851 | 2020-02-07 |
| 1144784364 | Kathryn Ann Stoecker | Counselor | 141 S Mccormick St Ste 214, Prescott, AZ 86303-4731 | 2019-01-23 |
| 1437659075 | Laura Solorzano | Counselor | 1612 Eagle Point Dr, Prescott, AZ 86301-5487 | 2018-02-20 |
| 1124538236 | Jon Gary Nelson | Counselor | 4992 Cactus Pl, Prescott, AZ 86301-5845 | 2017-10-03 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1912420738 | Sandra Lehmann | Counselor | 3700 Willow Creek Rd Bldg 46, Prescott, AZ 86301-3721 | 2017-07-24 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1760838502 | Sarah Munigle | Counselor | 141 S Mccormick St Ste 206a, Prescott, AZ 86303-4749 | 2016-05-11 |
| 1104225861 | Debra Nelson | Counselor | 121 Darby Creek Way, Prescott, AZ 86301-4413 | 2014-08-19 |
| Find all providers in PRESCOTT | ||||
Please comment or provide details below to improve the information on TRACY SCHRUNK.
| 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.