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

Q: 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.

Q: What is Tracy Birmingham's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

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Other Names 1

Former Name (1)Tracy Rose Booth

Other Identifiers 1

Medicaid173795795AR

Medicare Participation & PECOS CMS

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

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.

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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.

KAREN EVONNE LEWIS

Case Manager/Care Coordinator