TRACI MARTIN (NPI# 1427170927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427170927 |
| Entity Type | Individual |
| Full Name | TRACI MARTIN |
| Practice Address |
2191 Kirker Pass Rd Concord CA 94521-1629 |
| Practice Telephone | 9256710777 |
| Mailing Telephone | 9256710777 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326494600 | Traci Martin | Case Manager/Care Coordinator | 4611 E 52nd Dr Apt 123, Vernon, CA 90058-5534 | 2016-05-05 |
| 1164889010 | Traci Martin | Advanced Practice Midwife | 8845 Six Pines Dr, Shenandoah, TX 77380-2675 | 2016-01-23 |
| 1144602640 | Traci Lynn Martin | Nurse Practitioner | 1001 Hadley Rd, Suite Ll050, Mooresville, IN 46158-1883 | 2015-06-22 |
| 1285848507 | Traci Lynn Martin | Physical Therapist | 500 15th Ave S, Benefis Therapy Center, Great Falls, MT 59405-4324 | 2007-05-09 |
| 1770664815 | Traci Kristine Martin | Speech-Language Pathologist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2006-10-17 |
| Street Address |
2191 KIRKER PASS RD |
| City | CONCORD |
| State | CA |
| Zip Code | 94521-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316096902 | Sarah Reardon | Marriage & Family Therapist | 2191 Kirker Pass Rd, Concord, CA 94521-1629 | 2007-01-10 |
| 1912464280 | Joycelin Dianne Umanzor | Counselor | 2191 Kirker Pass Rd, Concord, CA 94521-1629 | 2019-02-22 |
| 1437636727 | Caroline Cubre | Counselor | 2191 Kirker Pass Rd, Concord, CA 94521-1629 | 2018-07-19 |
| 1780137158 | Helen Lebert | Counselor | 2191 Kirker Pass Rd, Concord, CA 94521-1629 | 2016-08-02 |
| 1477911105 | Gwendalynn Mcbride | Counselor | 2191 Kirker Pass Rd, Concord, CA 94521-1629 | 2016-02-09 |
| 1811305105 | Kathryn Bournazos Brodsky | Speech-Language Pathologist | 2191 Kirker Pass Rd, Concord, CA 94521-1629 | 2014-07-30 |
| 1376959064 | Kathy Youngson | Occupational Therapist | 2191 Kirker Pass Rd, Concord, CA 94521-1629 | 2014-07-02 |
| 1013298454 | Kristan Flynn | Counselor | 2191 Kirker Pass Rd, Concord, CA 94521-1629 | 2011-08-30 |
| 1588971733 | Mary C Reyna | Counselor | 2191 Kirker Pass Rd, Concord, CA 94521 | 2010-09-09 |
| 1063745776 | Patria Madeleine Surmann | Counselor | 2191 Kirker Pass Rd, Concord, CA 94521-1629 | 2009-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184169229 | Bronze Owl LLC | Non-emergency Medical Transport (VAN) | 1424 Cape Cod Way, Concord, CA 94521 | 2016-12-28 |
| 1245617620 | Magnolia Guest Home LLC | Assisted Living Facility | 1639 Fairwood Dr, Concord, CA 94521 | 2015-05-05 |
| 1326436387 | Yolanda Rosemarie Overton | Counselor | 2191 Kirker Pass Road, Concord, CA 94521 | 2014-12-29 |
| 1174872063 | Clayton Valley Charter High School | Local Education Agency (LEA) | 1101 Alberta Way, Concord, CA 94521 | 2012-09-06 |
| 1720365026 | Danielle Liane Allen | Occupational Therapist | 4367 Concord Blvd., Concord, CA 94521 | 2011-11-15 |
| 1003095951 | Bita Louise Matin | Dentist | 1494 Balhan Dr, Concord, CA 94521 | 2007-10-29 |
| 1265567333 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4118 Phoenix St, Concord, CA 94521 | 2007-02-22 |
| 1780729392 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4160 Phoenix St, Concord, CA 94521 | 2007-02-21 |
| 1528121118 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 5166 Sutherland Dr, Concord, CA 94521 | 2006-12-18 |
| 1407918576 | Horace Joseph Beach | Psychologist | 1460 Washington Blvd Ste C-6, Concord, CA 94521 | 2006-12-15 |
| Find all providers in zip 94521 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805967 | Parisa Zamanian | Counselor | 2118 Willow Pass Rd # 500, Concord, CA 94520-2408 | 2020-09-15 |
| 1295371359 | Colette Elaine Trotter | Counselor | 2931 Prospect St, Concord, CA 94518-1025 | 2019-11-25 |
| 1093350506 | Faith Speaks | Counselor | 730 Cheswick Ave, Concord, NC 28025-7079 | 2019-11-08 |
| 1073098026 | Kristen Kenney | Counselor | 236 Partridge Ln, Concord, MA 01742-2651 | 2018-09-26 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1831616663 | Kelsey Carey | Counselor | 700 Church St N Ste 70, Concord, NC 28025-4380 | 2017-08-23 |
| 1962947473 | Nathan Ryan Evans | Counselor | 1030 Central Dr Nw, Concord, NC 28027-4296 | 2016-12-20 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1164871356 | Sokcheat Son | Counselor | 2118 Willow Pass Road, Ste 500, Concord, CA 94520 | 2016-06-08 |
| Find all providers in CONCORD | ||||
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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.