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TRACY LYNN ROE M.A., L.C.P.C., NCC
NPI 1104059054
Counselor - Professional in Boise, ID

Active since August 26, 2009PECOS Enrolled
3350 W AMERICANA TER STE 330C, BOISE, ID 83706(208) 866-3971 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Jan 8, 2021, May 2, 2019 (3 updates tracked since 2019).

About Tracy Lynn Roe M.a., L.c.p.c., Ncc NPPES

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

TRACY LYNN ROE M.A., L.C.P.C., NCC (NPI 1104059054) is an individual professional provider in Boise, Idaho and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104059054
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRACY LYNN ROECredential: M.A., L.C.P.C., NCC
Location Address3350 W AMERICANA TER STE 330CBoise, ID 83706-2547
Mailing Address2800 N Bogus Basin Rd Apt D103Boise, ID 83702-0976 · (208) 866-3971
Phone(208) 866-3971
Sole ProprietorYes
Enumeration DateAugust 26, 2009
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1104059054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X · License 18781 (TX)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LCPC-4651 (ID)
3350 W AMERICANA TER STE 330C, Boise, ID 83706
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Lynn Roe M.a., L.c.p.c., Ncc 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 2

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

GREATER MIND INTEGRATION, PLLC
Counselor (Mental Health)
3350 W AMERICANA TER STE 330C
BOISE, ID 83706
Ada County (208) 273-3514
JOSHUA RYCHERT
Counselor (Professional)
3350 W AMERICANA TER STE 330C
BOISE, ID 83706
Ada County (208) 501-3585

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 Tracy Roe's NPI number?

The NPI number for Tracy Roe is 1104059054. It was assigned to this individual provider in the NPPES registry on August 26, 2009.

Where is Tracy Roe located?

Tracy Roe practices at 3350 W Americana Ter Ste 330C, Boise, ID 83706. The listed phone number is (208) 866-3971.

What is Tracy Roe's specialty?

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

Is Tracy Roe enrolled in Medicare?

Yes. Tracy Roe is registered in the Medicare PECOS enrollment system.

What insurance does Tracy Roe accept?

Health plans from PacificSource Health Plans list Tracy Roe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracy Roe was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.