TRACEY DEANNE ROBERTS (NPI# 1467949404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467949404 |
| Entity Type | Individual |
| Full Name | TRACEY DEANNE ROBERTS |
| Credential | LPC |
| Practice Address |
1780 Old Highway 50 E Ste 113 Union MO 63084 |
| Mailing Address |
1800 Community Clinton MO 64735-8804 |
| Practice Telephone | 6365828100 |
| Practice Fax Number | 6365832885 |
| Mailing Telephone | 6608858131 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2018011501 | MO | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2018011501 | MO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 813 Camilla Ln, Saint Clair, MO 630773864 | 3148081250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144425968 | Tracey Lynn Roberts | Specialist | 1337 Mount Rose Ave, York, PA 17403-2962 | 2007-06-20 |
| 1538565841 | Tracey Roberts | Acupuncturist | 123 Washington St, New York, NY 10006-1518 | 2014-11-13 |
| Street Address |
1780 OLD HIGHWAY 50 E STE 113 |
| City | UNION |
| State | MO |
| Zip Code | 63084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275912107 | Ralph B Smith | Social Worker | 1780 Old Highway 50 E Ste 113, Union, MO 63084 | 2015-05-26 |
| 1447742424 | Katie M Hoskins | Social Worker | 1780 Old Highway 50 E Ste 113, Union, MO 63084-3397 | 2018-06-05 |
| 1548765100 | Brian James Falls | Counselor | 1780 Old Highway 50 E Ste 113, Union, MO 63084-3397 | 2018-03-27 |
| 1568964237 | Mary Schwenck | Counselor | 1780 Old Highway 50 E Ste 113, Union, MO 63084-3397 | 2018-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490915 | Megan N Pruett | Counselor | 107 Chesire Lane, Union, MO 63084 | 2019-10-29 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
| 1437697844 | Sally Lavigne | Behavioral Analyst | 1281 Hwy 47, Union, MO 63084 | 2017-02-06 |
| 1659771707 | Whitney Paige Scanlon | Speech-Language Pathologist | 770 Independence Drive, Union, MO 63084 | 2014-08-26 |
| 1487066775 | Helen Overstreet | Massage Therapist | 302 Us Highway 50 West, Suite B, Union, MO 63084 | 2014-05-21 |
| 1093152332 | Katie Henry | Counselor | 1 Par Court, Union, MO 63084 | 2013-05-28 |
| 1437402336 | Rainbow Abilities Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 306 W Hwy 50, Union, MO 63084 | 2012-10-17 |
| 1962761866 | George Howard Bergevin | Chiropractor | 405 Us Hwy 50, Ste. 200, Union, MO 63084 | 2012-05-11 |
| 1336478866 | Kristine Marie Posinski | Physical Therapist | 770 Independence Dr, Union, MO 63084 | 2009-12-11 |
| 1295874212 | Andrea D Kempf | Occupational Therapist | 300 Independence Dr., Union, MO 63084 | 2007-02-06 |
| Find all providers in zip 63084 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841808219 | Sharonda S Johnson | Counselor | 1961 Long Ter, Union, NJ 07083-5406 | 2020-07-21 |
| 1093348203 | Cindy Elaine Walker | Counselor | 2204 Morris Ave # Suitei-4, Union, NJ 07083-5918 | 2020-02-16 |
| 1841848900 | Tara Kapleau | Counselor | 778 Colonial Arms Rd, Union, NJ 07083-7610 | 2019-08-30 |
| 1780168963 | Amy Hall | Counselor | 14 S Washington Ave, Union, MO 63084-1848 | 2018-09-24 |
| 1376044735 | Kathleen Cruise Murphy | Counselor | 6304 Bristol Dr, Union, NJ 07083-2519 | 2018-02-21 |
| 1164920468 | Danielle Lugiano-tarsi | Counselor | 835 Remmos Ave, Union, NJ 07083-6533 | 2018-02-01 |
| 1750893772 | Heather Hanley | Counselor | 342 Greenbriar Dr Unit 3, Union, NJ 07083-8769 | 2017-10-31 |
| 1225574767 | Patsy Ware | Counselor | 28 Timber Dr, Union, MO 63084-1045 | 2017-01-08 |
| 1740632827 | Tea Tree Behavioral Health & Therapy LLC | Counselor | 102 S Mckinley Ave, Union, MO 63084-1814 | 2016-07-12 |
| 1083099626 | Leeann Pennington | Counselor | 15 S Oak St, Union, MO 63084-1817 | 2015-07-24 |
| Find all providers in UNION | ||||
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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.