Healthcare Provider Details

I. General information

NPI: 1881504355
Provider Name (Legal Business Name): TRACY LYNN BECK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 AURORA AVE
URBANDALE IA
50322-2800
US

IV. Provider business mailing address

2005 69TH ST
WINDSOR HEIGHTS IA
50324-5810
US

V. Phone/Fax

Practice location:
  • Phone: 515-274-9607
  • Fax:
Mailing address:
  • Phone: 515-975-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number140723
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: