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MR. JACK FRANK TRACY II PH.D.
NPI 1609089655
Counselor - Mental Health in Norman, OK

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
1006 24TH AVE NW STE 100, NORMAN, OK 73069(405) 801-2836(405) 801-2846 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jack Frank Tracy Ii Ph.d. NPPES

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

MR. JACK FRANK TRACY II PH.D. (NPI 1609089655) is an individual mental health provider in Norman, Oklahoma, licensed in Oklahoma (3829) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2009).

NPPES Registry Identity

NPI1609089655
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JACK FRANK TRACY IICredential: PH.D.
Location Address1006 24TH AVE NW STE 100Norman, OK 73069-6344
Mailing Address1006 24th Ave Nw Ste 100Norman, OK 73069-6344 · (405) 801-2836 · Fax (405) 801-2846
Phone(405) 801-2836
Fax(405) 801-2846
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2009
Enumeration DateMay 7, 2007
Last NPPES UpdateFebruary 9, 2012
✔ NPI 1609089655 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 OK · 3829
Also ListedPsychologistTaxonomy 103T00000X · License 1120 (OK)
1006 24TH AVE NW STE 100, Norman, OK 73069
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINOKAAA2310OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jack Frank Tracy Ii Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244407435
PECOS Enrollment IDI20120111000118
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 Jack Tracy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jack Tracy II, Ph.D. Pyschological Services, PLLC
0.3 mi
Psychologist
1006 24TH AVE NW STE 100
Norman, OK 73069
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1457657165 (405) 801-2836

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
289 services14 patients

Other Providers at the Same Location NPPES 7

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

DR. JEANA WILLIAMS GEDMIN PH.D.
Psychologist (Clinical)
1006 24TH AVE NW STE 100
NORMAN, OK 73069
Cleveland County (405) 801-2837
DR. CAROL A. TERRY PH.D.
Psychologist (Clinical)
1006 24TH AVE NW STE 100
NORMAN, OK 73069
Cleveland County (405) 321-0303
CAROL TERRY PSYCHOLOGICAL SERVICES, P.C.
Psychologist (Clinical)
1006 24TH AVE NW STE 100
NORMAN, OK 73069
Cleveland County (405) 321-0303
JACK TRACY II, PH.D. PYSCHOLOGICAL SERVICES, PLLC
Psychologist
1006 24TH AVE NW STE 100
NORMAN, OK 73069
Cleveland County (405) 801-2836
THRIVE WITHIN PSYCHOLOGICAL SERVICES LLC
Clinical Neuropsychologist
1006 24TH AVE NW STE 100
NORMAN, OK 73069
Cleveland County (405) 321-0303
KIMI CARSON PHD
Clinical Neuropsychologist
1006 24TH AVE NW STE 100
NORMAN, OK 73069
Cleveland County (405) 321-0303
LT PSYCHOLOGY SERVICES LLC
Psychologist (Clinical)
1006 24TH AVE NW STE 100
NORMAN, OK 73069
Cleveland County (405) 321-0303

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 Jack Tracy's NPI number?

The NPI number for Jack Tracy is 1609089655. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Jack Tracy located?

Jack Tracy practices at 1006 24th Ave NW Ste 100, Norman, OK 73069. The listed phone number is (405) 801-2836.

What is Jack Tracy's specialty?

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

Is Jack Tracy enrolled in Medicare?

Yes. Jack Tracy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jack Tracy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Tracy reassigns Medicare benefits to Jack Tracy II, Ph.D. Pyschological Services, PLLC (Norman, OK). 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 Jack Tracy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Tracy accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Jack Tracy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Tracy was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.