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TRACY N GREENE
NPI 1174259519
Counselor - Mental Health in Jacksonville, FL

Active since July 27, 2022PECOS Enrolled
8239 WINDYPINE LN, JACKSONVILLE, FL 32244(125) 256-7840 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy N Greene NPPES

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

TRACY N GREENE (NPI 1174259519) is an individual mental health provider in Jacksonville, Florida, licensed in (20769) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1174259519
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACY N GREENE
Location Address8239 WINDYPINE LNJacksonville, FL 32244-5262
Mailing Address8239 Windypine LnJacksonville, FL 32244-5262 · (125) 256-7840
Phone(125) 256-7840
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 27, 2022
NPPES CertifiedJuly 27, 2022
✔ NPI 1174259519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · 20769
8239 WINDYPINE LN, Jacksonville, FL 32244
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 N Greene is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153899547
PECOS Enrollment IDI20260504008054
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.

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 Greene's NPI number?

The NPI number for Tracy Greene is 1174259519. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Where is Tracy Greene located?

Tracy Greene practices at 8239 Windypine Ln, Jacksonville, FL 32244. The listed phone number is (125) 256-7840.

What is Tracy Greene's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tracy Greene enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tracy Greene was last updated on July 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.