TRACI DECKER (NPI# 1578005591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578005591 |
| Entity Type | Individual |
| Full Name | TRACI DECKER |
| Practice Address |
36 Public Ave Montrose PA 18801-1603 |
| Mailing Address |
Po Box 366 36 Public Ave Montrose PA 18801-1603 |
| Practice Telephone | 5702783338 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| 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 |
36 PUBLIC AVE |
| City | MONTROSE |
| State | PA |
| Zip Code | 18801-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124209440 | Trehab Drug and Alcohol Outpatient Program | Community/Behavioral Health | 36 Public Ave, Box 366, Montrose, PA 18801-1220 | 2007-11-15 |
| 1356883722 | Ann Lewis | Counselor | 36 Public Ave, Montrose, PA 18801-1220 | 2016-11-16 |
| 1750823779 | Jeffery Mead | Counselor | 36 Public Ave, Montrose, PA 18801-1603 | 2016-11-08 |
| 1942742960 | Judith Carroll | Counselor | 36 Public Ave, Montrose, PA 18801-1603 | 2016-11-08 |
| 1366994832 | Michelle Taylor | Counselor | 36 Public Ave, Montrose, PA 18801-1220 | 2016-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225588437 | Judith Ann Ochse | Nurse Practitioner | 273 Meteor Way, Montrose, PA 18801 | 2016-10-12 |
| 1164726196 | Beth Parrish | Speech-Language Pathologist | 11292 Sr 29, Montrose, PA 18801 | 2011-01-05 |
| 1588996839 | Eric Brandon Rood | Chiropractor | 337 High School Rd, Suites 1&3, Montrose, PA 18801 | 2010-02-10 |
| 1245416171 | Bruce C Rossman | Counselor | Rr3 Valley View Rd, Franklin Forks, PA 18801 | 2008-01-10 |
| 1386837409 | Tri County Human Services Center Inc | Case Management | Rt 706 E, Lake Plaza 2, Montrose, PA 18801 | 2007-08-22 |
| 1184790511 | Monica L Marta | Dentist | 12 Ridge Street, Montrose, PA 18801 | 2006-11-28 |
| 1710057864 | Carey Marie Williams | Nurse Practitioner | 50 Meteor Way, Montrose, PA 18801 | 2006-11-08 |
| 1447348610 | Binghamton Optical Inc | Eyewear Supplier (Equipment, not the service) | 13 Public Ave, Montrose, PA 18801 | 2006-10-11 |
| 1013017474 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 801 Grow Avenue, Montrose, PA 18801 | 2006-09-25 |
| 1811996283 | Montrose Minute Men Inc | Ambulance | 23 Hollister Dr., Montrose, PA 18801 | 2005-07-19 |
| Find all providers in zip 18801 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053772111 | Sarah Grace Stangebye-hibler | Counselor | 95 Merchant Dr Ste B-1, Montrose, CO 81401-3025 | 2016-03-16 |
| 1629489109 | Jamie Given | Counselor | 2233 Honolulu Ave Ste 308, Montrose, CA 91020-1635 | 2014-05-19 |
| 1619140860 | Gary Lachapelle | Counselor | 2818 Hwy 21218, Montrose, IA 52639 | 2008-04-09 |
| 1689891053 | Carolyn J Merrick | Counselor | 650 E. Miami St., Montrose, CO 81402 | 2007-04-19 |
| 1902830136 | Penny Hatter | Counselor | 605 E Miami Rd, Montrose, CO 81401 | 2006-07-11 |
| 1720012933 | Shaun O Sowle | Counselor | 1010 Rio Grande Ave, Montrose, CO 81401-4831 | 2006-07-11 |
| 1205826195 | Marshall Scott Campbell | Counselor | 300 N Cascade Ave, Montrose, CO 81401-3537 | 2005-10-24 |
| 1629508676 | Christine L Strickland | Counselor | 2130 E Main St, Montrose, CO 81401-3834 | 2017-06-13 |
| 1356883722 | Ann Lewis | Counselor | 36 Public Ave, Montrose, PA 18801-1220 | 2016-11-16 |
| 1750823779 | Jeffery Mead | Counselor | 36 Public Ave, Montrose, PA 18801-1603 | 2016-11-08 |
| Find all providers in MONTROSE | ||||
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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.