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MRS. TRACY NITTA TAKEDA MA , LCPC
NPI 1225120900
Counselor - Professional in Warrenville, IL

Active since September 29, 2006PECOS Enrolled
27475 FERRY RD STE 130, WARRENVILLE, IL 60555(630) 277-9170(630) 277-8362 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2025, Oct 18, 2019 (2 updates tracked since 2019).

About Mrs. Tracy Nitta Takeda Ma , Lcpc NPPES

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

MRS. TRACY NITTA TAKEDA MA , LCPC (NPI 1225120900) is an individual professional provider in Warrenville, Illinois, licensed in Illinois (180-002939) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1225120900
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. TRACY NITTA TAKEDACredential: MA , LCPC
Location Address27475 FERRY RD STE 130Warrenville, IL 60555-3808
Mailing Address27475 Ferry Rd Ste 130Warrenville, IL 60555-3808 · (630) 277-9170
Phone(630) 277-9170
Fax(630) 277-8362
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1225120900 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 IL · 180-002939
27475 FERRY RD STE 130, Warrenville, IL 60555
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tracy Nitta Takeda Ma , Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557888666
PECOS Enrollment IDI20250512001812
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.

Other Providers at the Same Location NPPES

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

TK COUNSELING PLLC
Counselor (Mental Health)
27475 FERRY RD STE 130
WARRENVILLE, IL 60555
Dupage County (630) 884-1708

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 Takeda's NPI number?

The NPI number for Tracy Takeda is 1225120900. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Tracy Takeda located?

Tracy Takeda practices at 27475 Ferry Rd Ste 130, Warrenville, IL 60555. The listed phone number is (630) 277-9170.

What is Tracy Takeda's specialty?

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

Is Tracy Takeda enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tracy Takeda was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.