TRACEY MOULTON LMHC
NPI 1043876758
Counselor - Mental Health in Miami Lakes, FL

Q: What is Tracey Moulton's NPI number?

The NPI number for Tracey Moulton is 1043876758. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Q: What is Tracey Moulton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Moulton was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 17, 2019PECOS Enrolled

14645 NW 77TH AVE STE 101, MIAMI LAKES, FL 33014(833) 769-3524 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tracey Moulton Lmhc NPPES

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

TRACEY MOULTON LMHC (NPI 1043876758) is an individual mental health provider in Miami Lakes, Florida, licensed in Florida (MH23302) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Elmhurst.

NPPES Registry Identity

NPI1043876758

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameTRACEY MOULTONCredential: LMHC

Location Address14645 NW 77TH AVE STE 101Miami Lakes, FL 33014-2569

Mailing Address650 W Grand Ave Ste 207Elmhurst, IL 60126-1025 · (844) 263-1613 · Fax (844) 263-1612

Phone(833) 769-3524

Sole ProprietorNo

Enumeration DateMay 17, 2019

Last NPPES UpdateMarch 11, 2024

NPPES CertifiedMarch 11, 2024

✔ NPI 1043876758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · MH23302

Also ListedBehavior TechnicianTaxonomy 106S00000X · License 19-76571

14645 NW 77TH AVE STE 101, Miami Lakes, FL 33014

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Secondary Practice Location 1

Location 1650 W Grand Ave Ste 207Elmhurst, IL 60126-1025 · Phone (844) 263-1613 · Fax (844) 263-1612

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracey Moulton Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

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

MRS. DANIELLE NANETTE GREENE LCSW

Social Worker (Clinical)