TRACEY LYNETTE WILSON
NPI 1952062317
Counselor in Fairfax, VA

Q: What is Tracey Wilson's NPI number?

The NPI number for Tracey Wilson is 1952062317. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Q: What is Tracey Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracey Wilson was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 06, 2022PECOS Enrolled

3613 CHAIN BRIDGE RD STE D, FAIRFAX, VA 22030(703) 397-8163 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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

NPI1952062317

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameTRACEY LYNETTE WILSON

Location Address3613 CHAIN BRIDGE RD STE DFairfax, VA 22030-3238

Mailing Address3611 Chain Bridge Rd Ste CFairfax, VA 22030-3246 · (703) 397-8163

Phone(703) 397-8163

Sole ProprietorYes

Enumeration DateJanuary 6, 2022

NPPES CertifiedJanuary 6, 2022

✔ NPI 1952062317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

3613 CHAIN BRIDGE RD STE D, Fairfax, VA 22030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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).

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 2

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

MARIA ALICIA PITARQUE HEISHMAN

Social Worker (School)

3613 CHAIN BRIDGE RD STE D
FAIRFAX, VA 22030

Fairfax City (703) 397-8163

MANDY MARIE ROBITAILLE

Social Worker (Clinical)

3613 CHAIN BRIDGE RD STE D
FAIRFAX, VA 22030

Fairfax City (703) 397-8163

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 Tracey Wilson's NPI number?

The NPI number for Tracey Wilson is 1952062317. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Tracey Wilson located?

Tracey Wilson practices at 3613 Chain Bridge Rd Ste D, Fairfax, VA 22030. The listed phone number is (703) 397-8163.

What is Tracey Wilson's specialty?

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

Is Tracey Wilson enrolled in Medicare?

Yes. Tracey Wilson is registered in the Medicare PECOS enrollment system.

What insurance does Tracey Wilson accept?

Health plans from Providence Health Plan list Tracey Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracey Wilson was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.