Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Tracey Wisdom, LCDC

Addiction (Substance Use Disorder) Counselor in Longview, TX · enumerated 2025 · practices at East Texas Clinic Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174329262

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Tracey Wisdom

Credential LCDC

Sex Female

Practice address Longview, TX, 75604

Phone (903) 759-4966

Enumeration date Feb 20, 2025

Last updated in NPPES Feb 20, 2025

Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Tracey Wisdom's NPI record?

Cross-check NPI 1174329262 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1174329262 active?

Yes — as of the latest NPPES snapshot, NPI 1174329262 is active (record last updated 2025-02-20).

Other providers at this practice address

Browse all →

East Texas Clinic Inc Methadone Clinic · Longview, TX NPI 1851045595 Carlton Smith Addiction (Substance Use Disorder) Counselor · Longview, TX NPI 1407652548 Lynette Vickery Addiction (Substance Use Disorder) Counselor · Longview, TX NPI 1982400040

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-20.