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MS. TRACEY LATONYA BLACKBURN
NPI 1629551304
Counselor - Mental Health in Des Plaines, IL

Active since September 10, 2018
1717 RAND RD, DES PLAINES, IL 60016(773) 294-5797 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2018, Sep 10, 2018 (2 updates tracked since 2018).

About Ms. Tracey Latonya Blackburn NPPES

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

MS. TRACEY LATONYA BLACKBURN (NPI 1629551304) is an individual mental health provider in Des Plaines, Illinois and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1629551304
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. TRACEY LATONYA BLACKBURN
Location Address1717 RAND RDDes Plaines, IL 60016-3509
Mailing Address1800 N Hermitage AveChicago, IL 60622-1161 · (773) 294-5797
Phone(773) 294-5797
Sole ProprietorNo
Enumeration DateSeptember 10, 2018
Last NPPES UpdateSeptember 27, 20182 updates tracked since enumeration
✔ NPI 1629551304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1717 RAND RD, Des Plaines, IL 60016
Open in Google Maps ↗

Other Identifiers 1

Medicaid362170821061IL

Other Providers at the Same Location NPPES 17

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

MS. BIANCA GALVEZ M.S.W.
Counselor (Mental Health)
1717 RAND RD
DES PLAINES, IL 60016
Cook County (847) 376-2106
CARMEN GUERRERO BA
Counselor
1717 RAND RD
DES PLAINES, IL 60016
Cook County (847) 376-2100
MA BEATRIZ CAMASOSA
Counselor (Mental Health)
1717 RAND RD
DES PLAINES, IL 60016
Cook County (847) 376-2148
MICAELA BATES LCSW
Social Worker (Clinical)
1717 RAND RD
DES PLAINES, IL 60016
Cook County (312) 655-7143
JOSEPH HATHAWAY
Social Worker
1717 RAND RD
DES PLAINES, IL 60016
Cook County (847) 376-2113
ELSA CHINCHILLA MA, LCPC
Counselor (Professional)
1717 RAND RD
DES PLAINES, IL 60016
Cook County (847) 376-2111
MR. DAVID L MCCOY SR.
Social Worker
1717 RAND RD
DES PLAINES, IL 60016
Cook County (847) 376-2102
ANGELICA LOPEZ
Counselor (Mental Health)
1717 RAND RD
DES PLAINES, IL 60016
Cook County (847) 376-2106

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 Tracey Blackburn's NPI number?

The NPI number for Tracey Blackburn is 1629551304. It was assigned to this individual provider in the NPPES registry on September 10, 2018.

Where is Tracey Blackburn located?

Tracey Blackburn practices at 1717 Rand Rd, Des Plaines, IL 60016. The listed phone number is (773) 294-5797.

What is Tracey Blackburn's specialty?

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

When was this NPI record last updated?

The NPPES record for Tracey Blackburn was last updated on September 27, 2018. 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.