MR. TRACY RYAN PARKS LPC
NPI 1245444058
Counselor - Professional in Kirksville, MO

Q: What is Tracy Parks's NPI number?

The NPI number for Tracy Parks is 1245444058. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Q: What is Tracy Parks'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 Tracy Parks was last updated on April 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment

1611 S BALTIMORE ST, KIRKSVILLE, MO 63501(660) 665-7575 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Tracy Ryan Parks Lpc NPPES

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

MR. TRACY RYAN PARKS LPC (NPI 1245444058) is an individual professional provider in Kirksville, Missouri, licensed in Missouri (2003013757) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kirksville, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1245444058

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. TRACY RYAN PARKSCredential: LPC

Location Address1611 S BALTIMORE STKirksville, MO 63501-4536

Mailing Address32728 State Hwy ELa Plata, MO 63549-5156 · (660) 341-0552

Phone(660) 665-7575

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateMay 10, 2007

Last NPPES UpdateApril 8, 2024

NPPES CertifiedApril 8, 2024

✔ NPI 1245444058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 2003013757

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2003013757 (MO)

1611 S BALTIMORE ST, Kirksville, MO 63501

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Secondary Practice Location 1

Location 1100 E Normal AveKirksville, MO 63501-4200 · Phone (660) 785-4014 · Fax (660) 785-7444

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Tracy Ryan Parks 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 ID8325486392

PECOS Enrollment IDI20240410000746

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 17

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

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