MEDICARE: TRACEY SZAKACS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2005026034	MO
2	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194864546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACEY SZAKACS LPC

Provider Business Mailing Address
First Line	:	1152 COUNTY LINE RD APT 32
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66103-2339
Country	:	US
Telephone Number	:	816-830-4514
Fax Number	:	816-241-2797

Provider Business Practice Location Address
First Line	:	1152 COUNTY LINE RD APT 32
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66103-2339
Country	:	US
Telephone Number	:	816-830-4514
Fax Number	:	816-241-2797

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	03/12/2024

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Directions to “ TRACEY SZAKACS LPC” Practice Location

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