Tracy Lee Mattingly-Miller, LPCC,NCC
NPI 1790159002ActiveIndividual· Counselor, Professional· Richmond, KY
Counselor, Professional (LPCC,NCC) with Brightside Medical PC, practicing in Richmond, Kentucky. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1790159002 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC,NCC |
| Sole proprietor | Yes |
| NPI issued | Nov 24, 2015 |
| Last updated in NPPES | May 26, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 105746 | KY |
| Counselor, Professional | 101YP2500X | 1205 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (KY) |
|---|
Education and affiliations
| Graduation year | 1991 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Brightside Medical PCBaltimore, MD · 279 clinicians
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