TRACEY LYNN PENROD LPCC-S, LCDC III
NPI 1184318792
Counselor - Professional in Canton, OH

Q: What is Tracey Penrod's NPI number?

The NPI number for Tracey Penrod is 1184318792. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Q: What is Tracey Penrod's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracey Penrod was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 06, 2023

626 30TH ST NW, CANTON, OH 44709(330) 815-7935 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2023, Jun 7, 2023 (2 updates tracked since 2023).

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About Tracey Lynn Penrod Lpcc-s, Lcdc Iii NPPES

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

TRACEY LYNN PENROD LPCC-S, LCDC III (NPI 1184318792) is an individual professional provider in Canton, Ohio, licensed in Ohio (E0500233) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1184318792

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTRACEY LYNN PENRODCredential: LPCC-S, LCDC III

Location Address626 30TH ST NWCanton, OH 44709-3112

Mailing Address626 30th St NwCanton, OH 44709-3112

Phone(330) 815-7935

Sole ProprietorNo

Enumeration DateJune 6, 2023

Last NPPES UpdateJune 14, 20232 updates tracked since enumeration

NPPES CertifiedJune 14, 2023

✔ NPI 1184318792 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 OH · E0500233

626 30TH ST NW, Canton, OH 44709

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., MedMutual, SummaCare.Insurance ›

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 Penrod's NPI number?

The NPI number for Tracey Penrod is 1184318792. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Tracey Penrod located?

Tracey Penrod practices at 626 30th St NW, Canton, OH 44709. The listed phone number is (330) 815-7935.

What is Tracey Penrod's specialty?

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

What insurance does Tracey Penrod accept?

Health plans from Antidote Health Plan of Ohio, Inc., MedMutual and SummaCare list Tracey Penrod 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 Penrod was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.