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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TRACI FUGLESTAD
NPI 1265346696
Counselor - Mental Health in Macclenny, FL

Active since October 01, 2026
84 W LOWDER ST, MACCLENNY, FL 32063(352) 374-5600 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Traci Fuglestad NPPES

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

TRACI FUGLESTAD (NPI 1265346696) is an individual mental health provider in Macclenny, Florida, licensed in Florida (SW26623) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1265346696
Entity TypeIndividual
Primary Taxonomy101YM0800X
Provider Legal NameTRACI FUGLESTAD
Location Address84 W LOWDER STMacclenny, FL 32063-2638
Mailing Address4300 Sw 13th StGainesville, FL 32608-4006
Phone(352) 374-5600
Sole ProprietorYes
Enumeration DateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1265346696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · SW26623
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW26623 (FL)
84 W LOWDER ST, Macclenny, FL 32063
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Other Providers at the Same Location NPPES 20

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

TINA LOUISE EDWARDS
Counselor
84 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600
ROBERT D SHARPE
Counselor
84 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600
SHAKEIRA S MAXWELL
Counselor
84 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600
MERIDIAN BEHAVIORAL HEALTHCARE, INC.
Case Management
84 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600
SAVANNAH JADE ROGERS
Behavior Technician
84 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600
MARIANNE NICHOLS
Case Manager/Care Coordinator
84 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600
THOMAS A CORNISH
Counselor
84 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600
AMANDA CLARK ANDERSON
Counselor
84 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600

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 Traci Fuglestad's NPI number?

The NPI number for Traci Fuglestad is 1265346696. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Where is Traci Fuglestad located?

Traci Fuglestad practices at 84 W Lowder St, Macclenny, FL 32063. The listed phone number is (352) 374-5600.

What is Traci Fuglestad's specialty?

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

When was this NPI record last updated?

The NPPES record for Traci Fuglestad was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.