MR. RYAN DAVID TRACY (NPI# 1972158574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972158574 |
| Entity Type | Individual |
| Full Name | MR. RYAN DAVID TRACY |
| Credential | LCPC |
| Practice Address |
819 Ritchie Hwy Severna Park MD 21146-4197 |
| Mailing Address |
819 Ritchie Hwy Ste 1020 Severna Park MD 21146-4193 |
| Practice Telephone | 4104315111 |
| Practice Fax Number | 4104315112 |
| Mailing Telephone | 4104315111 |
| Mailing Fax Number | 4104315112 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC7319 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467770370 | Ryan Patrick Tracy | Dietitian, Registered | 200 Yellow Pine Dr, Hattiesburg, MS 39402-9233 | 2010-05-17 |
| 1346283835 | Ryan Patrick Tracy | Specialist | 2299 Bacon St Ste 7, Ste. 110, Concord, CA 94520-2046 | 2006-06-13 |
| Street Address |
819 RITCHIE HWY |
| City | SEVERNA PARK |
| State | MD |
| Zip Code | 21146-4197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114145729 | Ronald Barry Golkow | Psychologist | 819 Ritchie Hwy, Suite 2010, Severna Park, MD 21146-4197 | 2007-04-22 |
| 1407180904 | Susan Helen Busse Siegel | Psychiatry & Neurology | 819 Ritchie Hwy, Suite 2001, Severna Park, MD 21146-4197 | 2009-09-30 |
| 1013186824 | Mechelle Gunther | Counselor | 819 Ritchie Hwy, Severna Park, MD 21146-4197 | 2008-02-26 |
| 1083892699 | April Michelle Johnson | Counselor | 819 Ritchie Hwy, Suite 1020, Severna Park, MD 21146-4197 | 2008-02-06 |
| 1518143387 | Annette Yvonne Burns-porter | Counselor | 819 Ritchie Hwy, Severna Park, MD 21146-4197 | 2008-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538713 | Erin Maria Betz | Social Worker | 517 Benfield Blvd, Suite 102, Severna Park, MD 21146 | 2019-10-01 |
| 1912566753 | Thomas Brown Jr. | Optometrist | 139 Ritchie Highway, Suite B, Severna Park, MD 21146 | 2019-06-06 |
| 1063985901 | Nancy Mcdowell Lincoln-reynolds | Marriage & Family Therapist | Woods Counseling Center, 8 Cypress Creek Road, Severna Park, MD 21146 | 2019-01-03 |
| 1750865556 | Laura Hoelzer | Physical Therapist | 820 Ritchie Highway, Severna Park, MD 21146 | 2018-09-18 |
| 1316431653 | Severna Park Family Chiropractic, PC | Chiropractor | 846 Ritchie Hwy Ste 1b, Severna Park, MD 21146 | 2018-06-20 |
| 1164925202 | Mnr Industries, LLC | Clinic/Center | 153 Ritchie Hwy, Severna Park, MD 21146 | 2018-03-15 |
| 1649798281 | Lydia Ferguson | Behavior Technician | 645 Baltimore Annapolis Blvd Suite 216-217, Severna Park, MD 21146 | 2017-09-05 |
| 1477082873 | Laura Mennecke | Counselor | 479 Jumpers Hole Road, Suite 304b, Severna Park, MD 21146 | 2017-06-08 |
| 1689112682 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 143 Ritchie Highway N, Severna Park, MD 21146 | 2017-02-09 |
| 1396195384 | Amy Vance | Nurse Practitioner | 300 Mason Lord Drive, Baltimore, MD 21146 | 2016-06-21 |
| Find all providers in zip 21146 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629637145 | Joy Lynn Mccrady | Counselor | 815 Ritchie Hwy Ste 208, Severna Park, MD 21146-4164 | 2019-06-08 |
| 1902329865 | David Everett Mank | Counselor | 2 Evergreen Rd Ste 200, Severna Park, MD 21146-3802 | 2017-07-24 |
| 1821338658 | Jessica Taylor Kepner | Counselor | 650 Ritchie Hwy Ste 200, Severna Park, MD 21146-3935 | 2013-02-14 |
| 1982779674 | Nancy Joan Moonstarr | Counselor | 4 Riverview Rd, Severna Park, MD 21146-4630 | 2006-11-21 |
| 1285255000 | Sara Illiano | Counselor | 650 Ritchie Hwy Ste 200, Severna Park, MD 21146-3935 | 2020-05-04 |
| 1750927422 | Magothy River Counseling LLC | Counselor | 815 Ritchie Hwy Ste 205, Severna Park, MD 21146-4164 | 2019-11-18 |
| 1225594260 | Northstar Counseling & Wellness, LLC | Counselor | 815 Ritchie Hwy Ste 205, Severna Park, MD 21146-4164 | 2019-02-14 |
| 1467929737 | Karina Aponte | Counselor | 650 Ritchie Hwy Ste 200, Severna Park, MD 21146-3935 | 2018-10-25 |
| 1033617204 | Denise Elaine Moreland | Counselor | 570 Ritchie Hwy Ste H, Severna Park, MD 21146-2925 | 2018-01-23 |
| 1114433000 | Tiffany Michelle Sands | Counselor | 570 Ritchie Hwy Ste H, Severna Park, MD 21146-2925 | 2017-12-14 |
| Find all providers in SEVERNA PARK | ||||
| City | SEVERNA PARK |
| Zip Code | 21146 |
Please comment or provide details below to improve the information on MR. RYAN DAVID TRACY.
| 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.