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Tracy Lateria Bannerman, MS, LCADC, CPC-I

NPI 1699470294ActiveIndividual· Counselor· Las Vegas, NV

Counselor (MS, LCADC, CPC-I) in Las Vegas, Nevada, licensed in NV, with an NPI issued in April 2023.

Overview

NPI1699470294
StatusActive
Entity typeIndividual
CredentialMS, LCADC, CPC-I
Sole proprietorNo
NPI issuedApr 3, 2023
Last updated in NPPESOct 14, 2025
Certified by providerOct 14, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Counselor Primary101Y00000XCI5354NV
Counselor, Addiction (Substance Use Disorder)101YA0400X07366-LCINV

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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