Tracey Wyatt, LPC
Counselor, Professional in Athens, GA. Individual provider (NPI-1).
NPI number1851530786
StatusActive
Last updated in NPPESFeb 5, 2026
Details
- NPI
- 1851530786
- Entity type
- Individual (NPI-1)
- Name
- Tracey Wyatt
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2009
- Certification date
- Feb 5, 2026
- Last updated
- Feb 5, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC006178 | GA | Yes |
| 101Y00000X | Counselor | APC001877 | GA |
Practice location
1 Huntington Rd Ste 803Athens, GA 30606-7216
Phone 706-510-5006
Mailing address
1 Huntington Rd Ste 803Athens, GA 30606-7216
Phone 706-510-5006
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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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