TRACY J LONGTINE LICENSED PROFESSIONA
NPI 1770570434
Counselor - Professional in Appleton, WI
About Tracy J Longtine Licensed Professiona NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY J LONGTINE LICENSED PROFESSIONA (NPI 1770570434) is an individual professional provider in Appleton, Wisconsin, licensed in Wisconsin (3279125) and active in the NPI registry since September 2005.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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.
APPLETON, WI 54915
APPLETON, WI 54915
APPLETON, WI 54915
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 Longtine's NPI number?
The NPI number for Tracy Longtine is 1770570434. It was assigned to this individual provider in the NPPES registry on September 28, 2005. The provider is also known as Tracy J Roeske Lpc.
Where is Tracy Longtine located?
Tracy Longtine practices at 1531 S Madison St, Appleton, WI 54915. The listed phone number is (920) 730-4411.
What is Tracy Longtine's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
When was this NPI record last updated?
The NPPES record for Tracy Longtine was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Tracy J Longtine, LICENSED PROFESSIONA · NPI 1770570434
Professional provider in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since September 28, 2005.
## Identity
- **NPI:** 1770570434 (Entity type: Individual)
- **Enumerated:** September 28, 2005
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 3279125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1531 S MADISON ST, Appleton, WI 54915-1800
- **Phone:** (920) 730-4411
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 40973400 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1770570434) · Data from the CMS NPPES public registry.