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TRACEY AUDETTE JULIAN MHP
NPI 1659103430
Counselor - Mental Health in Farmington, MO

Active since August 19, 2024PECOS Enrolled
508 W PINE ST, FARMINGTON, MO 63640(573) 664-1100 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2025, Aug 19, 2024 (2 updates tracked since 2024).

About Tracey Audette Julian Mhp NPPES

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

TRACEY AUDETTE JULIAN MHP (NPI 1659103430) is an individual mental health provider in Farmington, Missouri and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1659103430
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACEY AUDETTE JULIANCredential: MHP
Location Address508 W PINE STFarmington, MO 63640-1426
Mailing AddressPo Box 146Waterloo, IL 62298-0146 · (618) 939-4444 · Fax (618) 939-4181
Phone(573) 664-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 19, 2024
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1659103430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
508 W PINE ST, Farmington, MO 63640
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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 Audette Julian Mhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668950452
PECOS Enrollment IDI20260203000365
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 6

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

GINA HEBERLIE NP
Nurse Practitioner
508 W PINE ST
FARMINGTON, MO 63640
St. Francois County (573) 747-1510
DR. TANNER LORENZ DDS
Dentist (General Practice)
508 W PINE ST
FARMINGTON, MO 63640
St. Francois County (573) 664-1100
PARKCREST ORTHOPEDICS LLC
Orthopaedic Surgery
508 W PINE ST
FARMINGTON, MO 63640
St. Francois County (314) 997-1777
MIDWEST HEALTH GROUP, LLC
Non-Pharmacy Dispensing Site
508 W PINE ST
FARMINGTON, MO 63640
St. Francois County (573) 747-1510
DR. CHARLES JUSTUS ELKINGTON DMD
Dentist
508 W PINE ST
FARMINGTON, MO 63640
St. Francois County (573) 664-1100
MRS. DIANE MARIE RADOSEVICH FNP
Nurse Practitioner (Family)
508 W PINE ST
FARMINGTON, MO 63640
St. Francois County (573) 747-1510

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 Julian's NPI number?

The NPI number for Tracey Julian is 1659103430. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Tracey Julian located?

Tracey Julian practices at 508 W Pine St, Farmington, MO 63640. The listed phone number is (573) 664-1100.

What is Tracey Julian's specialty?

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

Is Tracey Julian enrolled in Medicare?

Yes. Tracey Julian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracey Julian was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.