MEDICARE: TRACY FEREZAN LPC, LMHCA, SUDP,

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	101YM0800X	Mental Health Counselor	9215	LA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	CP61283636	WA
3	101YM0800X	Mental Health Counselor	MC61297200	WA

General Provider Information

NPI Number	:	1518673672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY FEREZAN LPC, LMHCA, SUDP,

Provider Business Mailing Address
First Line	:	6626 213TH AVENUE CT. E
Second Line	:
City	:	LAKE TAPPS
State	:	WA
Zip	:	98391
Country	:	US
Telephone Number	:	206-659-5790
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N HOWARD ST STE 5331
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0508
Country	:	US
Telephone Number	:	504-657-6142
Fax Number	:

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

Provider Enumeration Date	:	01/23/2023
Last Update Date	:	01/12/2026

Similar Medicare Providers

1477308138 — PAUL DERENZO LMHCA
Practice Location Address:

100 N HOWARD ST STE W
SPOKANE, WA
99201-0508

Practice Phone: 206-348-4671
Practice Fax:

1316775489 — ROWAN NAIRN LMFTA
Practice Location Address:

100 N HOWARD ST STE W
SPOKANE, WA
99201-0508

Practice Phone: 360-525-3041
Practice Fax:

1922967751 — SOCHI HEALTH AND WELLNESS PLLC
Practice Location Address:

100 N HOWARD ST STE W
SPOKANE, WA
99201-0508

Practice Phone: 360-386-2449
Practice Fax: 760-267-9161

1356608731 — EMILY ROSE COURNEY LICSW
Practice Location Address:

100 N HOWARD ST STE W
SPOKANE, WA
99201-0508

Practice Phone: 360-207-0913
Practice Fax:

1225816572 — MRS. OCTAVIA R CHENAULT-ROBINSON MA, RLMHC,R/MFT,LLPC
Practice Location Address:

100 N HOWARD ST
SPOKANE, WA
99201-0508

Practice Phone: 313-887-0087
Practice Fax: 313-887-4112

1629603949 — RUBY ROSE STOCKING SIAGKRIS MSN ARNP CNM PMHNP
Practice Location Address:

100 N HOWARD ST STE R
SPOKANE, WA
99201-0508

Practice Phone: 360-564-1942
Practice Fax: 360-838-1266

Directions to “ TRACY FEREZAN LPC, LMHCA, SUDP,” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.