TRACEY D WHITE LCMHC, NCC
NPI 1558873778
Counselor - Mental Health in Charlotte, NC

Q: What is Tracey White's NPI number?

The NPI number for Tracey White is 1558873778. It was assigned to this individual provider in the NPPES registry on October 27, 2017.

Q: What is Tracey White's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracey White was last updated on January 16, 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.

Active since October 27, 2017PECOS Enrolled

10430 HARRIS OAK BLVD STE L, CHARLOTTE, NC 28269(704) 360-3637(704) 200-9829 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 5, 2024, May 24, 2023, Oct 27, 2017 (3 updates tracked since 2017).

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About Tracey D White Lcmhc, Ncc NPPES

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

TRACEY D WHITE LCMHC, NCC (NPI 1558873778) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (13154) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558873778

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameTRACEY D WHITECredential: LCMHC, NCC

Location Address10430 HARRIS OAK BLVD STE LCharlotte, NC 28269-7513

Mailing Address122 Gateway Blvd Ste CMooresville, NC 28117-5544 · (704) 360-3637 · Fax (704) 200-9829

Phone(704) 360-3637

Fax(704) 200-9829

Sole ProprietorYes

Enumeration DateOctober 27, 2017

Last NPPES UpdateJanuary 16, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2024

✔ NPI 1558873778 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 NC · 13154

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 13154 (NC)

10430 HARRIS OAK BLVD STE L, Charlotte, NC 28269

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracey D White Lcmhc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 16

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

MRS. CELENA NICOLE SHIVERS PMHNP

Nurse Practitioner (Psychiatric/Mental Health)