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TRACY ROSE BIRMINGHAM LPC
NPI 1609052596
Counselor - Professional in Osceola, AR

Active since January 10, 2008PECOS Enrolled
3201 W KEISER AVE, OSCEOLA, AR 72370(870) 622-0592(870) 336-1339 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2026, Nov 12, 2024, Nov 16, 2022 and 1 more (4 updates tracked since 2018).

About Tracy Rose Birmingham Lpc NPPES

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

TRACY ROSE BIRMINGHAM LPC (NPI 1609052596) is an individual professional provider in Osceola, Arkansas, licensed in Arkansas (P2410012) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1609052596
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRACY ROSE BIRMINGHAMCredential: LPC
Location Address3201 W KEISER AVEOsceola, AR 72370-3467
Mailing Address1815 Pleasant Grove RdJonesboro, AR 72405-7870 · (870) 933-6886 · Fax (870) 336-1339
Phone(870) 622-0592
Fax(870) 336-1339
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 10, 2008
Last NPPES UpdateFebruary 3, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1609052596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P2410012
3201 W KEISER AVE, Osceola, AR 72370
Open in Google Maps ↗

Other Names 1

Former Name (1)Tracy Rose Booth

Other Identifiers 1

Medicaid173795795AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Rose Birmingham Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022544816
PECOS Enrollment IDI20241203003559
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.

Medicare Billing Reassignment

Medicare enrollment records show Tracy Birmingham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Changes Behavioral Health, LLC
54 mi
Community/Behavioral Health
204 MISSISSIPPI ST S
Wynne, AR 72396
  • Reassigned Medicare billing, Arkansas enrollment
  • 26 clinicians in this Medicare group
NPI 1114260486 (870) 208-8499

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KAREN EVONNE LEWIS
Case Manager/Care Coordinator
3201 W KEISER AVE
OSCEOLA, AR 72370
Mississippi County (870) 622-0592
CARRINTON JONES
Case Manager/Care Coordinator
3201 W KEISER AVE
OSCEOLA, AR 72370
Mississippi County (870) 622-0592
PAUL ROBERTSON
Case Manager/Care Coordinator
3201 W KEISER AVE
OSCEOLA, AR 72370
Mississippi County (870) 622-0592
MRS. LATASHA LEE DAWSON LPC
Counselor
3201 W KEISER AVE
OSCEOLA, AR 72370
Mississippi County (870) 622-0592
BRYCE TRIBLE
Social Worker
3201 W KEISER AVE
OSCEOLA, AR 72370
Mississippi County (870) 622-0592
MADALLYN PUCKETT
Case Manager/Care Coordinator
3201 W KEISER AVE
OSCEOLA, AR 72370
Mississippi County (870) 622-0592
PAULA TURNER NORVELL RN
Registered Nurse
3201 W KEISER AVE
OSCEOLA, AR 72370
Mississippi County (870) 622-0592
MISS RACHEL LEANN RALKER-RAND LPE-I
Psychologist
3201 W KEISER AVE
OSCEOLA, AR 72370
Mississippi County (870) 622-0592

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 Birmingham's NPI number?

The NPI number for Tracy Birmingham is 1609052596. It was assigned to this individual provider in the NPPES registry on January 10, 2008. The provider is also known as Tracy Rose Booth.

Where is Tracy Birmingham located?

Tracy Birmingham practices at 3201 W Keiser Ave, Osceola, AR 72370. The listed phone number is (870) 622-0592.

What is Tracy Birmingham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tracy Birmingham enrolled in Medicare?

Yes. Tracy Birmingham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Birmingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Birmingham reassigns Medicare benefits to Changes Behavioral Health, LLC (Wynne, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Birmingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracy Birmingham was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.