TRACY LEE MATTINGLY-MILLER LPCC,NCC
NPI 1790159002
Counselor - Professional in Richmond, KY

Active since November 24, 2015PECOS EnrolledAccepts Medicare Assignment
1421 LEXINGTON RD, RICHMOND, KY 40475(859) 624-2454(859) 624-2454 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Lee Mattingly-miller Lpcc,ncc NPPES

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

TRACY LEE MATTINGLY-MILLER LPCC,NCC (NPI 1790159002) is an individual professional provider in Richmond, Kentucky, licensed in Kentucky (105746) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1790159002
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRACY LEE MATTINGLY-MILLERCredential: LPCC,NCC
Location Address1421 LEXINGTON RDRichmond, KY 40475-1059
Mailing Address345 Boggs RdLondon, KY 40744-7204 · (606) 657-6579
Fax(859) 624-2454
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 24, 2015
Last NPPES UpdateMay 26, 2016
NPI 1790159002 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 KY · 105746 Licensed in KY · 1205
1421 LEXINGTON RD, Richmond, KY 40475

Other Identifiers 1

Other000000991124Anthem Pin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tracy Lee Mattingly-miller Lpcc,ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214479476
PECOS Enrollment IDI20240604001693
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 8

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

Behavior Analyst
1421 LEXINGTON RD
RICHMOND, KY 40475
Psychologist (School)
1421 LEXINGTON RD
RICHMOND, KY 40475
Psychologist (School)
1421 LEXINGTON RD
RICHMOND, KY 40475
Psychologist (Clinical)
1421 LEXINGTON RD
RICHMOND, KY 40475
Psychologist (Clinical)
1421 LEXINGTON RD
RICHMOND, KY 40475
Psychologist (Counseling)
1421 LEXINGTON RD
RICHMOND, KY 40475
Psychologist
1421 LEXINGTON RD
RICHMOND, KY 40475
Psychologist
1421 LEXINGTON RD
RICHMOND, KY 40475

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 Mattingly-miller's NPI number?

The NPI number for Tracy Mattingly-miller is 1790159002. It was assigned to this individual provider in the NPPES registry on November 24, 2015.

Where is Tracy Mattingly-miller located?

Tracy Mattingly-miller practices at 1421 Lexington Rd, Richmond, KY 40475. The listed phone number is (859) 624-2454.

What is Tracy Mattingly-miller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tracy Mattingly-miller enrolled in Medicare?

Yes. Tracy Mattingly-miller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tracy Mattingly-miller was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.