TRACY FAYE WATERS LPC
NPI 1396506317
Counselor - Professional in Woodstock, GA
About Tracy Faye Waters Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY FAYE WATERS LPC (NPI 1396506317) is an individual professional provider in Woodstock, Georgia, licensed in Georgia (LPC013589) and active in the NPI registry since January 2024. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Tracy Faye Waters Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.
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 Waters's NPI number?
The NPI number for Tracy Waters is 1396506317. It was assigned to this individual provider in the NPPES registry on January 17, 2024.
Where is Tracy Waters located?
Tracy Waters practices at 3380 Trickum Rd Ste 700, Woodstock, GA 30188. The listed phone number is (770) 591-4770.
What is Tracy Waters's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tracy Waters enrolled in Medicare?
No. Tracy Waters has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Tracy Waters was last updated on January 17, 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.
# Tracy Faye Waters, LPC · NPI 1396506317
Professional provider in Woodstock, Georgia. Individual provider, active in the CMS NPPES registry since January 17, 2024.
## Identity
- **NPI:** 1396506317 (Entity type: Individual)
- **Enumerated:** January 17, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC013589 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3380 TRICKUM RD STE 700, Woodstock, GA 30188-3680
- **Phone:** (770) 591-4770
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 17, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1396506317) · Data from the CMS NPPES public registry.