TRACY CHANEY OLDAKER LPCC-S
NPI 1104425594
Counselor - Professional in Henderson, KY

Active since October 19, 2020PECOS EnrolledAccepts Medicare Assignment
618 N GREEN ST, HENDERSON, KY 42420(270) 826-8314 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2020, Oct 19, 2020 (2 updates tracked since 2020).

About Tracy Chaney Oldaker Lpcc-s NPPES

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

TRACY CHANEY OLDAKER LPCC-S (NPI 1104425594) is an individual professional provider in Henderson, Kentucky, licensed in Kentucky (103362) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1104425594
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRACY CHANEY OLDAKERCredential: LPCC-S
Location Address618 N GREEN STHenderson, KY 42420-2949
Mailing AddressPo Box 1637Owensboro, KY 42302-1637 · (270) 689-6500
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 19, 2020
Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
NPI 1104425594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in KY · 103362
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 103362 (KY)
618 N GREEN ST, Henderson, KY 42420

Secondary Practice Location 1

Location 1110 Barrett StProvidence, KY 42450-1102 · Phone (270) 667-7092

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tracy Chaney Oldaker Lpcc-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355791567
PECOS Enrollment IDI20240102000359
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.

Social Worker (Clinical)
618 N GREEN ST
HENDERSON, KY 42420
Social Worker (Clinical)
618 N GREEN ST
HENDERSON, KY 42420

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 Oldaker's NPI number?

The NPI number for Tracy Oldaker is 1104425594. It was assigned to this individual provider in the NPPES registry on October 19, 2020.

Where is Tracy Oldaker located?

Tracy Oldaker practices at 618 N Green St, Henderson, KY 42420. The listed phone number is (270) 826-8314.

What is Tracy Oldaker's specialty?

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

Is Tracy Oldaker enrolled in Medicare?

Yes. Tracy Oldaker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tracy Oldaker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Tracy Oldaker 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 Oldaker was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.