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TRACY LATERIA BANNERMAN MS, LCADC, CPC-I
NPI 1699470294
Counselor in Las Vegas, NV

Active since April 03, 2023
1901 S JONES BLVD, LAS VEGAS, NV 89146(702) 486-7865 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2025, Apr 3, 2023 (2 updates tracked since 2023).

About Tracy Lateria Bannerman Ms, Lcadc, Cpc-i NPPES

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

TRACY LATERIA BANNERMAN MS, LCADC, CPC-I (NPI 1699470294) is an individual counselor in Las Vegas, Nevada, licensed in Nevada (CI5354) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1699470294
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTRACY LATERIA BANNERMANCredential: MS, LCADC, CPC-I
Location Address1901 S JONES BLVDLas Vegas, NV 89146-1260
Mailing Address500 E Warm Springs Rd Ste 100Las Vegas, NV 89119-4345
Phone(702) 486-7865
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateOctober 14, 20252 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1699470294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NV · CI5354
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 07366-LCI (NV)
1901 S JONES BLVD, Las Vegas, NV 89146
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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.

CHENOA HALL
Psychologist (Rehabilitation)
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
YVONNE JACKSON
Counselor (Mental Health)
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
LA JUANA BROOKS
Counselor (Mental Health)
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
MELINDA S BRADLEY MFT-INTELADC-INTERN
Marriage & Family Therapist
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
SERENITY
Clinical Medical Laboratory
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
GOERGETTA FRAZIER
Behavior Analyst
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
HOLLY QUICK
Counselor (Mental Health)
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
TATEVIK ALFEROVA
Registered Nurse
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550

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 Bannerman's NPI number?

The NPI number for Tracy Bannerman is 1699470294. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Tracy Bannerman located?

Tracy Bannerman practices at 1901 S Jones Blvd, Las Vegas, NV 89146. The listed phone number is (702) 486-7865.

What is Tracy Bannerman's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tracy Bannerman was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.