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MS. TRACY L BOUDRIE MA, LPC
NPI 1205252129
Counselor - Professional in Hamtramck, MI

Active since March 17, 2014PECOS EnrolledAccepts Medicare Assignment
11521 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212(313) 733-4256(313) 733-4265 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 1, 2026, Aug 30, 2023, Dec 1, 2021 and 2 more (5 updates tracked since 2016).

About Ms. Tracy L Boudrie Ma, Lpc NPPES

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

MS. TRACY L BOUDRIE MA, LPC (NPI 1205252129) is an individual professional provider in Hamtramck, Michigan, licensed in Michigan (6401017135) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205252129
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. TRACY L BOUDRIECredential: MA, LPC
Location Address11521 JOSEPH CAMPAU STHamtramck, MI 48212-3050
Mailing Address11521 Joseph Campau StHamtramck, MI 48212-3050 · (313) 500-7884 · Fax (313) 766-4265
Phone(313) 733-4256
Fax(313) 733-4265
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 17, 2014
Last NPPES UpdateSeptember 1, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1205252129 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 MI · 6401017135
11521 JOSEPH CAMPAU ST, Hamtramck, MI 48212
Open in Google Maps ↗

Other Identifiers 3

Other6401017135MI · Lpc
Other6401015444MI · Llpc
Other6803086484MI · Registered Social Service Technician

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Tracy L Boudrie Ma, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032566922
PECOS Enrollment IDI20260716001782
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.

Medicare Billing Reassignment

Medicare enrollment records show Tracy Boudrie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

National Associations Of Yemeni Americans, Inc
8.1 mi
Professional
10415 DIX
Dearborn, MI 48120
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1689338949 (313) 842-8402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

INFINITY DRUGS LLC
Pharmacy (Community/Retail Pharmacy)
11521 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212
Wayne County (313) 733-6098
MRS. ASMAU AYUB LCP
Counselor
11521 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212
Wayne County (313) 733-4256
INFINITY VISION LLC
Optometrist
11521 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212
Wayne County (313) 743-4064
MUGEEB AL-HOBISHI
Case Manager/Care Coordinator
11521 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212
Wayne County (313) 733-4256
MS. STEPHANIE KAYE WILKS LMSW
Social Worker (Clinical)
11521 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212
Wayne County (248) 419-4869

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 Boudrie's NPI number?

The NPI number for Tracy Boudrie is 1205252129. It was assigned to this individual provider in the NPPES registry on March 17, 2014.

Where is Tracy Boudrie located?

Tracy Boudrie practices at 11521 Joseph Campau St, Hamtramck, MI 48212. The listed phone number is (313) 733-4256.

What is Tracy Boudrie's specialty?

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

Is Tracy Boudrie enrolled in Medicare?

Yes. Tracy Boudrie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tracy Boudrie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Boudrie reassigns Medicare benefits to National Associations Of Yemeni Americans, Inc (Dearborn, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Boudrie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Boudrie accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Tracy Boudrie 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 Boudrie was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.