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TRACY DOERR LPCC/LADC
NPI 1194492025
Counselor - Mental Health in Coon Rapids, MN

Active since August 27, 2021PECOS Enrolled
10464 HOLLYWOOD BLVD NW, COON RAPIDS, MN 55433(612) 900-8934 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Doerr Lpcc/ladc NPPES

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

TRACY DOERR LPCC/LADC (NPI 1194492025) is an individual mental health provider in Coon Rapids, Minnesota, licensed in Minnesota (3801) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194492025
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTRACY DOERRCredential: LPCC/LADC
Location Address10464 HOLLYWOOD BLVD NWCoon Rapids, MN 55433-4517
Mailing Address10464 Hollywood Blvd NwCoon Rapids, MN 55433-4517 · (612) 900-8934
Phone(612) 900-8934
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 27, 2021
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1194492025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 3801
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 303832 (MN)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3801 (MN)
10464 HOLLYWOOD BLVD NW, Coon Rapids, MN 55433
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Other Identifiers 1

MedicaidN204188757206MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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 Doerr Lpcc/ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052805017
PECOS Enrollment IDI20251209000214
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 Doerr's NPI number?

The NPI number for Tracy Doerr is 1194492025. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Tracy Doerr located?

Tracy Doerr practices at 10464 Hollywood Blvd NW, Coon Rapids, MN 55433. The listed phone number is (612) 900-8934.

What is Tracy Doerr's specialty?

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

Is Tracy Doerr enrolled in Medicare?

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

What insurance does Tracy Doerr accept?

Health plans from HealthPartners list Tracy Doerr 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 Tracy Doerr was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.