TRACEY FILLMORE (NPI# 1205367216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205367216 |
| Entity Type | Individual |
| Full Name | TRACEY FILLMORE |
| Credential | MHC-LP |
| Practice Address |
1645 Saint Paul St Rochester NY 14621-3162 |
| Practice Telephone | 5852321840 |
| Practice Fax Number | 5854232201 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1645 SAINT PAUL ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-3162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083014070 | M Elizabeth Rowe | Nurse Practitioner | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2014-08-27 |
| 1003449539 | Clifton Wayne Miller | Case Manager/Care Coordinator | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2020-02-12 |
| 1578103255 | Tamara Johnson | Case Manager/Care Coordinator | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2020-01-10 |
| 1083254700 | Korry Jackson | Case Manager/Care Coordinator | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2020-01-10 |
| 1235776931 | Ebony Preshette Dukes | Counselor | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2019-12-02 |
| 1891263984 | Solana L Crittenden | Social Worker | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2018-11-06 |
| 1811422538 | Catholic Family Center | Clinic/Center | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2017-05-01 |
| 1720523566 | Catholic Charities of Diocese of Rochester/dba/catholic Family Center | Substance Abuse Rehabilitation Facility | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2017-01-04 |
| 1750825899 | Sierra Nash | Counselor | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2016-12-08 |
| 1659728582 | Marc Johnson | Counselor | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2016-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198707 | Erin Elizabeth Bachman | Counselor | 300 11th Ave Nw Ste 120, Rochester, MN 55901-2739 | 2020-09-15 |
| 1700405883 | Christa Caye Welbon | Counselor | 1530 Greenview Dr Sw Ste 109, Rochester, MN 55902-1080 | 2020-04-09 |
| 1477195659 | Wendy Kesby | Counselor | 33 Chestnut St Fl 1, Rochester, NY 14604-2303 | 2019-10-09 |
| 1568021103 | Carl Leslie Hatch-feir | Counselor | Delphi Rise, 835 West Main Street, Rochester, NY 14611-2335 | 2019-06-07 |
| 1427515873 | Yanny Tello | Counselor | 727 Saint Paul St, Rochester, NY 14605-1730 | 2019-02-21 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1407337272 | Claudette Elisa Dones | Counselor | 14 Manitou St, Rochester, NY 14621-5609 | 2018-08-28 |
| 1225529704 | Hector Manuel Diaz | Counselor | 585 Joseph Ave Fl 1, Rochester, NY 14605-1215 | 2018-05-21 |
| 1518469162 | Magdimar Machado | Counselor | 18 Poplar Garden Ln Apt B, Rochester, NY 14606-4838 | 2018-02-28 |
| 1336640879 | Nicole Dale | Counselor | 130 Wakefield St, Rochester, NH 03867-1305 | 2018-02-21 |
| Find all providers in ROCHESTER | ||||
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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.