JESSICA TRACY LAC
NPI 1154960250
Counselor - Professional in Glendale, AZ

Active since January 06, 2020
21448 N 75TH AVE STE 6, GLENDALE, AZ 85308(940) 631-2629 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Tracy Lac NPPES

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

JESSICA TRACY LAC (NPI 1154960250) is an individual professional provider in Glendale, Arizona, licensed in Arizona (18662) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1154960250
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA TRACYCredential: LAC
Location Address21448 N 75TH AVE STE 6Glendale, AZ 85308-5978
Mailing Address13421 N 43rd Ave Apt 3095Phoenix, AZ 85029-1042 · (940) 631-2629
Sole ProprietorYes
Enumeration DateJanuary 6, 2020
NPI 1154960250 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 AZ · 18662
21448 N 75TH AVE STE 6, Glendale, AZ 85308

Other Providers at the Same Location NPPES 11

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

Counselor (Mental Health)
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Psychiatry & Neurology (Psychiatry)
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Counselor
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Counselor (Professional)
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Counselor (Professional)
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Counselor (Professional)
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Counselor (Mental Health)
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Counselor
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308

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 Jessica Tracy's NPI number?

The NPI number for Jessica Tracy is 1154960250. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Where is Jessica Tracy located?

Jessica Tracy practices at 21448 N 75th Ave Ste 6, Glendale, AZ 85308. The listed phone number is (940) 631-2629.

What is Jessica Tracy's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Tracy was last updated on January 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.