ELLEN MARIE TRACY (NPI# 1629290531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629290531 |
| Entity Type | Individual |
| Full Name | ELLEN MARIE TRACY |
| Credential | MFT |
| Practice Address |
110 Fifth St Ste. 103 Ketchum ID 83353 |
| Mailing Address |
Po Box 6282 Sun Valley ID 83354 |
| Practice Telephone | 2087207868 |
| Mailing Telephone | 2087207868 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | MFC-30249 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | LMFT-3837 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005367 | Ellen Marie Tracy | Registered Nurse | 93 Williston Rd Apt 1, Brookline, MA 02445-2138 | 2020-05-19 |
| 1740317205 | Ellen D Tracy | Speech-Language Pathologist | 2705 Juan Tabo Ne, Ste A6, Albuquerque, NM 87112 | 2007-02-28 |
| Street Address |
110 FIFTH ST STE. 103 |
| City | KETCHUM |
| State | ID |
| Zip Code | 83353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322451 | Karen Casperson | Marriage & Family Therapist | 1018 Atelier Condo Dr., Sun Valley, ID 83353 | 2019-12-02 |
| 1003242769 | Dewayne Laverne Briscoe | Dentist | 404 Fairway Loop, Sun Valley, ID 83353 | 2013-09-25 |
| 1629326350 | Elaine Durkheimer | Registered Nurse | 4323 Fairway Nine, Sun Valley, ID 83353 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779606 | Rooted Womens Health | Occupational Therapist | 431 N Walnut Ave, Ketchum, ID 83340 | 2020-10-29 |
| 1841826252 | Pilar Settlemier Tumolo | Counselor | 220 River Street East, Ketchum, ID 83340 | 2020-03-17 |
| 1598390643 | Alyson Holmes Witmer | Counselor | 220 2nd Ave, Ste 201, Ketchum, ID 83340 | 2020-03-10 |
| 1952864506 | Mollie Parker Szybala | Naturopath | 128 Saddle Rd, Suite 103-c, Ketchum, ID 83340 | 2019-04-10 |
| 1457827016 | Grundy Psychological Services, P.C. | Psychologist | 205 Ketchum Avenue, Ketchum, OK 74349 | 2018-10-22 |
| 1740789353 | Courtney Loving | Counselor | 208 N. Spruce, Ketchum, ID 83340 | 2018-02-09 |
| 1164876785 | Rebecca Grace | Psychologist | 200 River St East, Ketchum, ID 83340 | 2016-04-20 |
| 1306209556 | Garrett Coman | Dermatology | St. Luke's Dermatology, 191 5th Street West, Ketchum, ID 83340 | 2016-04-04 |
| 1265895775 | Innerhealth Md PC | Acupuncturist | 180 West 1st Street, Suite 206, Ketchum, ID 83340 | 2016-04-01 |
| 1487023503 | Tomomi Ikawa | Chiropractor | 131 4th St. E., Suite 310, Ketchum, ID 83340 | 2015-09-18 |
| Find all providers in KETCHUM | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912072307 | Jane Ellen Henley | Marriage & Family Therapist | 333 South Main St., Suite 212, Ketchum, ID 83340-2141 | 2006-11-21 |
| 1740731579 | Catherine Cox | Marriage & Family Therapist | 491 North Main Street, Suite 200, Ketchum, ID 83340 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070193 | Lana Elizabeth Bronn | Marriage & Family Therapist | 89 N Main St Ste 204, Driggs, ID 83422-5164 | 2020-07-09 |
| 1831725902 | Steven Michael Moroney | Marriage & Family Therapist | 24338 N Mckenzie Dr, Rathdrum, ID 83858-7390 | 2020-03-20 |
| 1285268102 | Sandra Marie Gunn | Marriage & Family Therapist | 2426 N Merritt Creek Loop Ste E, Coeur D Alene, ID 83814-4961 | 2020-02-29 |
| 1790322451 | Karen Casperson | Marriage & Family Therapist | 1018 Atelier Condo Dr., Sun Valley, ID 83353 | 2019-12-02 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1528602828 | Damaris Ellen Conrad | Marriage & Family Therapist | 205 S Lancaster Dr, Nampa, ID 83686-8077 | 2019-10-30 |
| 1063064111 | Stacy Annette Brittain | Marriage & Family Therapist | 501 E Indiana Ave, Coeur D Alene, ID 83814-2909 | 2019-07-09 |
| 1326510454 | Timothy Young | Marriage & Family Therapist | 211 E Coeur D Alene Ave, Coeur D Alene, ID 83814-4926 | 2018-12-31 |
| 1851819486 | Laura M. Brotherson | Marriage & Family Therapist | Cherry Lane Counseling Center 403 W. Cherry Lane, Meridian, ID 83642 | 2017-09-04 |
| 1972043966 | Jedidiah Dykstra | Marriage & Family Therapist | 1140 American Legion Blvd, Mountain Home, ID 83647-2821 | 2017-02-24 |
| Find all providers with the same taxonomy | ||||
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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.