TRACIE MICHELLE DONNELLY
NPI 1558828392
Counselor in Vandalia, IL

Active since February 28, 2019
1121 N 6TH ST, VANDALIA, IL 62471(618) 283-2222 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracie Michelle Donnelly NPPES

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

TRACIE MICHELLE DONNELLY (NPI 1558828392) is an individual counselor in Vandalia, Illinois and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1558828392
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTRACIE MICHELLE DONNELLY
Location Address1121 N 6TH STVandalia, IL 62471-1219
Mailing Address1733 Moonglow RdCentralia, IL 62801-6767 · (618) 335-6708
Sole ProprietorYes
Enumeration DateFebruary 28, 2019
NPI 1558828392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1121 N 6TH ST, Vandalia, IL 62471

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Behavior Technician
1121 N 6TH ST
VANDALIA, IL 62471
Behavior Technician
1121 N 6TH ST
VANDALIA, IL 62471
Counselor (Professional)
1121 N 6TH ST
VANDALIA, IL 62471
Counselor (Professional)
1121 N 6TH ST
VANDALIA, IL 62471

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 Tracie Donnelly's NPI number?

The NPI number for Tracie Donnelly is 1558828392. It was assigned to this individual provider in the NPPES registry on February 28, 2019.

Where is Tracie Donnelly located?

Tracie Donnelly practices at 1121 N 6th St, Vandalia, IL 62471. The listed phone number is (618) 283-2222.

What is Tracie Donnelly's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tracie Donnelly was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.