TRACIE B GOODSPEED (NPI# 1265683403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265683403 |
| Entity Type | Individual |
| Full Name | TRACIE B GOODSPEED |
| Credential | M.ED., LPC |
| Practice Address |
1305 S Country Club Rd Muskogee OK 74403-7802 |
| Mailing Address |
3941 S 1st St W Muskogee OK 74401-8915 |
| Practice Telephone | 9186685588 |
| Practice Fax Number | 9186866885 |
| Mailing Telephone | 9186873730 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2011-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
1305 S COUNTRY CLUB RD |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403-7802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649738675 | Robin Mackey | Counselor | 1305 S Country Club Rd, Muskogee, OK 74403-7802 | 2019-03-08 |
| 1356875595 | Yco Tulsa, Inc | Clinic/Center | 1305 S Country Club Rd, Muskogee, OK 74403-7802 | 2017-04-14 |
| 1043564099 | Tina M Powell | Counselor | 1305 S Country Club Rd, Muskogee, OK 74403-7802 | 2012-10-30 |
| 1932464534 | Darla L Stalnaker | Counselor | 1305 S Country Club Rd, Muskogee, OK 74403-7802 | 2012-07-10 |
| 1336424654 | Kerry M Hughart | Rehabilitation Counselor | 1305 S Country Club Rd, Muskogee, OK 74403-7802 | 2011-10-18 |
| 1184907024 | Thomas M Logan | Counselor | 1305 S Country Club Rd, Muskogee, OK 74403-7802 | 2011-09-27 |
| 1942529896 | Karla Sue Yazel-james | Counselor | 1305 S Country Club Rd, Muskogee, OK 74403-7802 | 2010-05-18 |
| 1326365875 | Theresa Ann Swanson | Counselor | 1305 S Country Club Rd, Muskogee, OK 74403-7802 | 2010-04-23 |
| 1801129465 | Stephanie Rogers | Social Worker | 1305 S Country Club Rd, Muskogee, OK 74403-7802 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1376765412 | Magnolia Gardens | Assisted Living Facility | 3211 Chandler Road, Muskogee, OK 74403 | 2007-05-02 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| Find all providers in zip 74403 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831653153 | Nikki Renee Miller | Counselor | 4708 Coyote Pass Ct, Muskogee, OK 74403-8433 | 2019-01-31 |
| 1831615137 | J'briel Elizabeth Porter | Counselor | 1312 W 60th St N, Muskogee, OK 74403-4405 | 2017-08-17 |
| 1144618505 | Tamala Walker | Counselor | 2604 Williams Ave, Muskogee, OK 74401-5676 | 2015-01-07 |
| 1215340922 | Anastasia Bearrentine | Counselor | 1217 N F St, Muskogee, OK 74403-2128 | 2014-06-10 |
| 1497166540 | Melinda A Jaynes | Counselor | 1203 Mccloud St, Muskogee, OK 74403-7150 | 2014-05-12 |
| 1114355468 | Joy Christina Mcnamee | Counselor | 2450 Hilldale Springs Cir Apt C, Muskogee, OK 74403-4072 | 2013-10-24 |
| 1598109472 | Christina R. Brewer | Counselor | 301 N 12th St, Muskogee, OK 74401-5910 | 2013-04-23 |
| 1033466503 | Edward G Bradley Jr. | Counselor | 223 N 3rd St, Suite 104, Muskogee, OK 74401-6609 | 2012-08-14 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| 1447581012 | Mary C Ward | Counselor | 111 1/2 S York St, Muskogee, OK 74403-5952 | 2010-01-21 |
| Find all providers in MUSKOGEE | ||||
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| 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.