Tracy Elizabeth Carmody, MS, LMHC, NCC, CASAC
Counselor in Syracuse, NY. Individual provider (NPI-1).
NPI number1770856502
StatusActive
Last updated in NPPESSep 23, 2012
Details
- NPI
- 1770856502
- Entity type
- Individual (NPI-1)
- Name
- Tracy Elizabeth Carmody
- Credential
- MS, LMHC, NCC, CASAC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2012
- Last updated
- Sep 23, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- Medicare opt-out
- Jun 25, 2024 to Jun 25, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 004833 | NY | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 22841 | NY | |
| 101YM0800X | Counselor, Mental Health | 004833 | NY |
Practice location
112 Dewitt StSte 205a
Syracuse, NY 13203-2890
Phone 315-719-7117
Mailing address
112 Dewitt StSyracuse, NY 13203-2890
Phone 315-719-7117
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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