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Tracey N Marshall , NCC, LPC

Counselor β€’ Clinton, MS

Active NPI 1891121844 Individual Practitioner Female Practitioner
Practice location in NPPES

90 W Lakeview Dr.
Clinton, MS 390565266

Call 1662586181 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

90 W Lakeview Dr.

Clinton, MS 390565266

Telephone 1662586181
Fax 7692410062
Organization at the Same NPPES Address or Phone
Purplebutterfly, Llc Facility NPI 1689458598

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Clinton and Mississippi

4 active clinicians are listed under Counselor with a practice address in Clinton, MS (872 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-22
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES MS 1815

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Mississippi State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 22, 2023

Registered at 90 W LAKEVIEW DR., CLINTON, MS 390565266 (Tel: 1662586181)

πŸ“
Updated Business Mailing Address August 22, 2023

Registered at PO BOX 1142, CLINTON, MS 390601142 (Tel: 6016226260)

βœ…
NPI Profile Active November 29, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 29, 2013

Registered at 730 AVIGNON DR STE 103, RIDGELAND, MS 391575164 (Tel: 6625861815)

πŸ“
Business Mailing Address (Initial Record) November 29, 2013

Registered at PO BOX 1370, CLINTON, MS 390601370 (Tel: 6625861815)

πŸ‘€
Provider Name / Credentials (Initial Record) November 29, 2013

Recorded as TRACEY MARSHALL, NCC, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2013

Counselor (license number reported to NPPES: MS 1815)

🟒
Initial NPI Registration & Enumeration September 23, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891121844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2013
Last Update: August 22, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 1142

Clinton, MS 390601142

Phone: 6016226260

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.