TRACEY LYNETTE WILSON
NPI 1952062317
Counselor in Fairfax, VA
About Tracey Lynette Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACEY LYNETTE WILSON (NPI 1952062317) is an individual counselor in Fairfax, Virginia and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracey Lynette Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952062317, enumerated as an "individual" on January 06, 2022.
The provider is located at 3613 CHAIN BRIDGE RD STE D FAIRFAX, VA 22030 and the phone number is (703) 397-8163.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
