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TRACEY RENEE BRYANT LPCC
NPI 1053629212
Counselor - Professional in Cecilia, KY

Active since September 21, 2010PECOS Enrolled
931 E MAIN STREET, CECILIA, KY 42724(444) 350-9005(270) 858-4029 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracey Renee Bryant Lpcc NPPES

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

TRACEY RENEE BRYANT LPCC (NPI 1053629212) is an individual professional provider in Cecilia, Kentucky, licensed in Kentucky (164670) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053629212
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRACEY RENEE BRYANTCredential: LPCC
Location Address931 E MAIN STREETCecilia, KY 42724-9624
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4607
Phone(444) 350-9005
Fax(270) 858-4029
Sole ProprietorNo
Enumeration DateSeptember 21, 2010
Last NPPES UpdateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
✔ NPI 1053629212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 164670
931 E MAIN STREET, Cecilia, KY 42724
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Other Identifiers 2

Medicaid7100394470KY
Other12164366Caqh

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 Renee Bryant Lpcc 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 7

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

JENNIFER M DAVIS LPCC
Counselor (Professional)
931 E MAIN STREET
CECILIA, KY 42724
Hardin County (844) 435-0900
TRAVIS L BILLINGS LCSW
Social Worker (Clinical)
931 E MAIN STREET
CECILIA, KY 42724
Hardin County (844) 435-0900
SAVANNAH B NALLY APRN
Nurse Practitioner (Family)
931 E MAIN STREET
CECILIA, KY 42724
Hardin County (844) 435-0900
ASHLEY MICHELLE TILFORD LPCC
Counselor (Professional)
931 E MAIN STREET
CECILIA, KY 42724
Hardin County (844) 435-0900
KAYLA D ARNEL LCSW
Social Worker (Clinical)
931 E MAIN STREET
CECILIA, KY 42724
Hardin County (844) 435-0900
JENNIFER I ROSS LMFT
Marriage & Family Therapist
931 E MAIN STREET
CECILIA, KY 42724
Hardin County (844) 435-0900
AMY M YOUNG LCSW
Social Worker (Clinical)
931 E MAIN STREET
CECILLIA, KY 42724
Hardin County (270) 858-6655

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 Tracey Bryant's NPI number?

The NPI number for Tracey Bryant is 1053629212. It was assigned to this individual provider in the NPPES registry on September 21, 2010.

Where is Tracey Bryant located?

Tracey Bryant practices at 931 E Main Street, Cecilia, KY 42724. The listed phone number is (444) 350-9005.

What is Tracey Bryant's specialty?

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

Is Tracey Bryant enrolled in Medicare?

Yes. Tracey Bryant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracey Bryant was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.