TRACEY R BOURNE L.M.H.C.
NPI 1174943526
Counselor - Mental Health in Clearwater, FL
About Tracey R Bourne L.m.h.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACEY R BOURNE L.M.H.C. (NPI 1174943526) is an individual mental health provider in Clearwater, Florida, licensed in Florida (MH11645) and active in the NPI registry since April 2014. She has opted out of Medicare through February 23, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Tracey R Bourne L.m.h.c. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 23, 2024 through February 23, 2028.
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 Tracey Bourne's NPI number?
The NPI number for Tracey Bourne is 1174943526. It was assigned to this individual provider in the NPPES registry on April 24, 2014.
Where is Tracey Bourne located?
Tracey Bourne practices at 13575 58th St N Ste 188, Clearwater, FL 33760. The listed phone number is (727) 314-1224.
What is Tracey Bourne's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tracey Bourne enrolled in Medicare?
No. Tracey Bourne has opted out of Medicare through February 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Tracey Bourne accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Tracey Bourne 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 Tracey Bourne was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Tracey R Bourne, L.M.H.C. · NPI 1174943526
Mental Health provider in Clearwater, Florida. Individual provider, active in the CMS NPPES registry since April 24, 2014.
## Identity
- **NPI:** 1174943526 (Entity type: Individual)
- **Enumerated:** April 24, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH11645 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13575 58TH ST N STE 188, Clearwater, FL 33760-3741
- **Phone:** (727) 314-1224
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 23, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 7, 2025
- **Other identifiers:** Other MH11645 (FL); Other 18886 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174943526) · Data from the CMS NPPES public registry.