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TRACY ELIZABETH CARMODY MS, LMHC, NCC, CASAC
NPI 1770856502
Counselor in Syracuse, NY

Active since February 09, 2012Opted out of Medicare · through Jun 25, 2028
112 DEWITT ST, STE 205A, SYRACUSE, NY 13203(315) 719-7117 Get Directions Write a Review

NPPES record last updated: September 23, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tracy Elizabeth Carmody Ms, Lmhc, Ncc, Casac NPPES

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

TRACY ELIZABETH CARMODY MS, LMHC, NCC, CASAC (NPI 1770856502) is an individual counselor in Syracuse, New York, licensed in New York (004833) and active in the NPI registry since February 2012. She has opted out of Medicare through June 25, 2028.

NPPES Registry Identity

NPI1770856502
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTRACY ELIZABETH CARMODYCredential: MS, LMHC, NCC, CASAC
Location Address112 DEWITT ST, STE 205ASyracuse, NY 13203-2890
Mailing Address112 Dewitt StSyracuse, NY 13203-2890 · (315) 719-7117
Phone(315) 719-7117
Sole ProprietorYes
Enumeration DateFebruary 9, 2012
Last NPPES UpdateSeptember 23, 2012
✔ NPI 1770856502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NY · 004833
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 22841 (NY)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 004833 (NY)
112 DEWITT ST, Syracuse, NY 13203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tracy Elizabeth Carmody Ms, Lmhc, Ncc, Casac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 25, 2024 through June 25, 2028.

Opt-Out Effective DateJune 25, 2024
Opt-Out In Effect ThroughJune 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

SPECIALIZED THERAPEUTIC MASSAGE OF CNY
Clinic/Center (Rehabilitation)
112 DEWITT ST
SYRACUSE, NY 13203
Onondaga County (315) 569-3472
KAITLIN ETEMADI LMFT
Marriage & Family Therapist
112 DEWITT ST
SYRACUSE, NY 13203
Onondaga County (315) 464-0774
MR. JOSEPH CHARLES MASTERLEO LCSW - DCSW
Social Worker (Clinical)
112 DEWITT ST, SUITE 103
SYRACUSE, NY 13203
Onondaga County (314) 415-4880
KATHLEEN ROSE BARTELL PH.D.
Psychologist (Clinical)
112 DEWITT ST, SUITE 204
SYRACUSE, NY 13203
Onondaga County (315) 425-1500
MS. SUSAN M LEVY LCSW
Social Worker (Clinical)
112 DEWITT ST, STE 203
SYRACUSE, NY 13203
Onondaga County (315) 422-4236
MS. COLLEEN K FELVER LCSW
Social Worker (Clinical)
112 DEWITT ST, STE 204
SYRACUSE, NY 13203
Onondaga County (315) 254-4804
DR. VINCENT V SPORTELLI DC
Chiropractor
112 DEWITT ST
SYRACUSE, NY 13203
Onondaga County (315) 422-4712

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 Carmody's NPI number?

The NPI number for Tracy Carmody is 1770856502. It was assigned to this individual provider in the NPPES registry on February 9, 2012.

Where is Tracy Carmody located?

Tracy Carmody practices at 112 Dewitt St Ste 205A, Syracuse, NY 13203. The listed phone number is (315) 719-7117.

What is Tracy Carmody's specialty?

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

Is Tracy Carmody enrolled in Medicare?

No. Tracy Carmody has opted out of Medicare through June 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tracy Carmody was last updated on September 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.