TRACY CHANEY OLDAKER (NPI# 1104425594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104425594 |
Entity Type | Individual |
Full Name | TRACY CHANEY OLDAKER |
Credential | LPCC-S |
Practice Address |
1310 Mark Trail Rd Louisville KY 40242-3612 |
Practice Telephone | 5026097333 |
Mailing Telephone | 5026097333 |
Enumeration Date | 2020-10-19 |
Last Update Date | 2020-10-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
103362 | KY | Behavioral Health & Social Service Providers |
Street Address |
1310 MARK TRAIL RD |
City | LOUISVILLE |
State | KY |
Zip Code | 40242-3612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689729121 | Robert E Bohn | Dentist | 9325 New Lagrange Road, Louisville, KY 40242 | 2007-01-24 |
1447303714 | Margaret C Campisano | Dentist | 9325 New Lagrange Rd, Louisville, KY 40242 | 2007-01-19 |
1386743037 | Kentuckiana Psychotherapy Associates | Social Worker | 9017 Taylorsville Rd, Louisville, KY 40242 | 2006-09-21 |
1245332279 | Paul Ezekiel Buck Sr. | Dentist | 8700 Bayberry Place, Paul E Buck Dmd, Louisville, KY 40242 | 2006-09-01 |
1326150947 | Terri White | Social Worker | 2603 Ballantrae Cir, Louisville, KY 40242 | 2006-08-31 |
1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
1841795317 | Ogedi Omenyinma | Non-emergency Medical Transport (VAN) | 2807 Valhalla Ct, Louisville, KY 40242-2402 | 2018-03-27 |
1275183451 | Emily Katherine Sturgeon | Nurse Practitioner | 8312 Easton Ln, Louisville, KY 40242-2518 | 2019-09-18 |
1538562376 | Sheila Mays | Social Worker | 2905 Brownsboro Vista Dr, Louisville, KY 40242-2965 | 2014-10-08 |
1558770032 | Judy Poiry Gradl | Occupational Therapist | 8407 Bayou Way, Louisville, KY 40242-3003 | 2014-08-08 |
Find all providers in zip 40242 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
1841899036 | Minjoo Bayers | Counselor | 1400 Willow Ave Apt 1701, Louisville, KY 40204-1470 | 2020-10-20 |
1386255131 | 1st Priority Healthcare LLC | Counselor | 4229 Bardstown Rd Ste 201, Louisville, KY 40218-3286 | 2020-08-14 |
1326659202 | Sean Michael Kelly | Counselor | 1407 Dellwood Dr, Louisville, KY 40216-4070 | 2020-08-13 |
1114537933 | Rocky Mountain Counseling Services | Counselor | 908 Main St Ste 370, Louisville, CO 80027-1867 | 2020-08-06 |
1205454220 | Andrew Raymond Thomas | Counselor | 302 Axis Dr Apt 301, Louisville, KY 40206-0130 | 2020-07-07 |
1629695481 | Christine Ann Thorp | Counselor | 1612 Cottonwood Dr Apt 10, Louisville, CO 80027-2826 | 2020-06-28 |
1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
1396361523 | Sarah Brees | Counselor | 521 E Ormsby Ave, Louisville, KY 40203-2620 | 2020-06-23 |
1679198634 | Taylor Yocom | Counselor | 14534 English Park Cir Unit 203, Louisville, KY 40299-6462 | 2020-06-15 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40242 |
Please comment or provide details below to improve the information on TRACY CHANEY OLDAKER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.