TRACIE JOHNSON, LLC
NPI 1013439579
Counselor - Professional in Spearfish, SD

Active since July 16, 2017
211 N MAIN ST STE 203, SPEARFISH, SD 57783(605) 641-7534(605) 559-0512 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 29, 2020, Sep 22, 2020, Nov 19, 2018 and 2 more (5 updates tracked since 2017).

About Tracie Johnson, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACIE JOHNSON, LLC (NPI 1013439579) is a healthcare organization registered as a professional in Spearfish, South Dakota and active in the NPI registry since July 2017. The organization lists Tracie Bren-clegg, Owner / Ceo, as its authorized official.

NPPES Registry Identity

NPI1013439579
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameTRACIE JOHNSON, LLC
Location Address211 N MAIN ST STE 203Spearfish, SD 57783-2646
Mailing Address211 N Main St Ste 203Spearfish, SD 57783-2646 · (605) 641-7534 · Fax (605) 559-0512
Fax(605) 559-0512
Organization SubpartNo
Authorized OfficialTracie Bren-cleggOwner / Ceo · (605) 641-7534
Enumeration DateJuly 16, 2017
Last NPPES UpdateSeptember 29, 20205 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
NPI 1013439579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
211 N MAIN ST STE 203, Spearfish, SD 57783

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
211 N MAIN ST STE 203
SPEARFISH, SD 57783
Community/Behavioral Health
211 N MAIN ST STE 203
SPEARFISH, SD 57783
Counselor (Professional)
211 N MAIN ST STE 203
SPEARFISH, SD 57783
Counselor (Mental Health)
211 N MAIN ST STE 203
SPEARFISH, SD 57783

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracie Johnson, LLC's NPI number?

The NPI number for Tracie Johnson, LLC is 1013439579. It was assigned to this organization in the NPPES registry on July 16, 2017.

Where is Tracie Johnson, LLC located?

Tracie Johnson, LLC is located at 211 N Main St Ste 203, Spearfish, SD 57783. The listed phone number is (605) 641-7534.

What is Tracie Johnson, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tracie Johnson, LLC was last updated on September 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.