TRACYS RESIDENTIAL RE ENTRY CENTER INC
NPI 1932823929
Counselor - Professional in Lexington, KY

Q: What is Tracys Residential Re Entry Center Inc's specialty?

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

Active since October 03, 2022CLIA 18D2294407 · Waiver

1365 DEVONPORT DR, LEXINGTON, KY 40504(859) 309-2240 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2025, Oct 3, 2022 (2 updates tracked since 2022).

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About Tracys Residential Re Entry Center Inc NPPES

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

TRACYS RESIDENTIAL RE ENTRY CENTER INC (NPI 1932823929), doing business as Tracy's House, is a healthcare organization registered as a professional in Lexington, Kentucky and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through November 26, 2027, maintains a secondary practice location in Lexington, and lists Chiquita Shields, President/director, as its authorized official.

NPPES Registry Identity

NPI1932823929

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameTRACYS RESIDENTIAL RE ENTRY CENTER INC

Location Address1365 DEVONPORT DRLexington, KY 40504-1552

Mailing Address1365 Devonport DrLexington, KY 40504-1512 · (859) 309-2240 · Fax (859) 800-5261

Phone(859) 309-2240

Organization SubpartNo

Authorized OfficialChiquita ShieldsPresident/director · (859) 229-8027

Enumeration DateOctober 3, 2022

Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1932823929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

1365 DEVONPORT DR, Lexington, KY 40504

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Other Names 2

Doing Business AsTracy's House

Doing Business AsUnbridled Behavioral Health

Secondary Practice Location 1

Location 12375 Professional Heights Dr Ste 210Lexington, KY 40503-3040 · Phone (859) 303-5505 · Fax (859) 800-5261

Other Identifiers 2

Other800505KY · Chfs

Other811063KY · Commonwealth Of Kentucky, Cabinet For Health And Family Services

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2294407

Tracy's Residential Reentry Center, Inc · Lexington, KY

Active · expires Nov 26, 2027

CLIA Number18D2294407

Laboratory TypeResidential Aode Rehab

Certificate Effective DateNovember 27, 2025

Certificate Expiration DateNovember 26, 2027

Laboratory DirectorMs. Chiquita Shields

Laboratory Phone(859) 309-2240

Laboratory LocationTracy's Residential Reentry Center, Inc1365 Davenport Dr, Lexington, KY 40504

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

MS. CHIQUITA SHIELDS TCADC

Counselor (Addiction (Substance Use Disorder))