TRACY DANIELS CSAC, LPC, ICS
NPI 1114460268
Counselor - Addiction (Substance Use Disorder) in Racine, WI

Q: What is Tracy Daniels's NPI number?

The NPI number for Tracy Daniels is 1114460268. It was assigned to this individual provider in the NPPES registry on November 22, 2016.

Q: What is Tracy Daniels's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Daniels was last updated on July 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 22, 2016PECOS Enrolled

1717 TAYLOR AVE, RACINE, WI 53403(262) 638-6674(262) 638-6540 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2021, Nov 22, 2016 (2 updates tracked since 2016).

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About Tracy Daniels Csac, Lpc, Ics NPPES

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

TRACY DANIELS CSAC, LPC, ICS (NPI 1114460268) is an individual addiction (substance use disorder) provider in Racine, Wisconsin, licensed in Wisconsin (11389) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mt Pleasant.

NPPES Registry Identity

NPI1114460268

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameTRACY DANIELSCredential: CSAC, LPC, ICS

Location Address1717 TAYLOR AVERacine, WI 53403-2405

Mailing Address5735 Durand Ave Ste AMt Pleasant, WI 53406-5011 · (262) 598-1392

Phone(262) 638-6674

Fax(262) 638-6540

Sole ProprietorNo

Enumeration DateNovember 22, 2016

Last NPPES UpdateJuly 26, 20212 updates tracked since enumeration

NPPES CertifiedJuly 26, 2021

✔ NPI 1114460268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WI · 11389

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 8036 (WI)

1717 TAYLOR AVE, Racine, WI 53403

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Secondary Practice Location 1

Location 15735 Durand Ave Ste AMT Pleasant, WI 53406-5011 · Phone (262) 598-1392

Other Identifiers 1

Medicaid10062879WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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 Daniels Csac, Lpc, Ics 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 20

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

MERRITT ADAMS CADCIII

Counselor (Addiction (Substance Use Disorder))