Tracy Rose Birmingham, LPC in Osceola, AR - Medicare Mental Health Counselor Provider

Tracy Rose Birmingham, LPC is a medicare enrolled "Counselor - Professional" provider in Osceola, Arkansas. She graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Changes Behavioral Health, Llc and her current practice location is 3201 W Keiser Ave, Osceola, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 622-0592.

Tracy Rose Birmingham is licensed to practice in Arkansas (license number P2410012) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1609052596.

Contact Information

	Tracy Rose Birmingham, LPC
	3201 W Keiser Ave, Osceola, AR 72370-3467
	(870) 622-0592
	(870) 336-1339

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Rose Birmingham
Gender	Female
Speciality	Mental Health Counselor
Experience	11 Years
Location	3201 W Keiser Ave, Osceola, Arkansas
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracy Rose Birmingham graduated from medical school in 2015

NPI Data:

NPI Number: 1609052596
Provider Enumeration Date: 01/10/2008
Last Update Date: 02/03/2026

Medicare PECOS Information:

PECOS PAC ID: 8022544816
Enrollment ID: I20241203003559

Medical Identifiers

Medical identifiers for Tracy Rose Birmingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609052596	NPI	-	NPPES
173795795	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	P2410012 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Changes Behavioral Health, Llc	6103149653	9

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tracy Rose Birmingham allows following entities to bill medicare on her behalf.

Entity Name	Families, Inc Of Arkansas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770535569 PECOS PAC ID: 9335133669 Enrollment ID: O20040412000211

Entity Name	Supportive Psych Care Of Arkansas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437887437 PECOS PAC ID: 8820474661 Enrollment ID: O20221003001887

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracy Rose Birmingham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tracy Rose Birmingham, LPC 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 Ph: (870) 933-6886	Tracy Rose Birmingham, LPC 3201 W Keiser Ave, Osceola, AR 72370-3467 Ph: (870) 622-0592

Reviews and Comments

Counselor in Osceola, AR

Audrey Denean Parker, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W Keiser, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
April L Scrape, LPN Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W. Keiser Ave, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Bridgette Jean Fielder, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3201 W. Keiser, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Mrs. Latasha Lee Dawson, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3201 W Keiser Ave, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Christie Lynn Brister, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W. Keiser Avenue, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Gail Renee Barger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 West Keiser, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Mrs. Kimberly Dawn Tomblin, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W Keiser Ave, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782

Tracy Rose Birmingham, LPC - Medicare Counselor in Osceola, AR