TRACY PARKER – NPI #1164284345
Counselor

TRACY PARKER is a counselor located in STATEN ISLAND, NY. NPPES recently assigned the NPI number 1164284345 to TRACY PARKER on January 24, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 101YA0400X from the Health Care Provider Taxonomy code set, which is classified as Counselor specializing in Addiction (Substance Use Disorder)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRACY PARKER below.

NPI Profile for
TRACY PARKER

NPI Number
1164284345
Created

(about 5 weeks ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TRACY PARKER
Primary location
1268 FOREST AVE
STATEN ISLAND, NY 10302-2312
Phone: (347) 647-3736 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jan 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
101YA0400X
- Counselor / Addiction (Substance Use Disorder) (Primary)
NY 34714

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.