TRACY M MARTIN LPC
NPI 1700222395
Counselor - Professional in Hayward, WI

Q: What is Tracy Martin's NPI number?

The NPI number for Tracy Martin is 1700222395. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Q: What is Tracy Martin'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 Martin was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 22, 2013PECOS Enrolled

13380 W TREPANIA RD, HAYWARD, WI 54843(715) 638-5102(715) 634-6107 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Tracy M Martin Lpc NPPES

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

TRACY M MARTIN LPC (NPI 1700222395) is an individual professional provider in Hayward, Wisconsin, licensed in Wisconsin (5227-125) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700222395

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTRACY M MARTINCredential: LPC

Location Address13380 W TREPANIA RDHayward, WI 54843-2186

Mailing Address13380 W Trepania RdHayward, WI 54843-2186 · (715) 638-5102 · Fax (715) 634-6107

Phone(715) 638-5102

Fax(715) 634-6107

Sole ProprietorNo

Enumeration DateMay 22, 2013

Last NPPES UpdateMarch 21, 2024

NPPES CertifiedMarch 21, 2024

✔ NPI 1700222395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in WI · 5227-125✔ Licensed in WI · 5227

13380 W TREPANIA RD, Hayward, WI 54843

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Other Identifiers 1

Medicaid1700222395WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy M Martin Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Tracy Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ho-Chunk Nation

116 mi

Federally Qualified Health Center (FQHC)

N6520 LUMBERJACK GUY RD
Black River Falls, WI 54615

Reassigned Medicare billing, Wisconsin enrollment
35 clinicians in this Medicare group

NPI 1407911795 (715) 284-9851

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

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.

MS. SANDRA ZEZNANSKI RD CDE

Dietitian, Registered