Provider Demographics
NPI:1891117883
Name:FRANSSEN, TRACEE LYNN (LIMHP, LADC)
Entity type:Individual
Prefix:
First Name:TRACEE
Middle Name:LYNN
Last Name:FRANSSEN
Suffix:
Gender:
Credentials:LIMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 N HOWARD AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-3529
Mailing Address - Country:US
Mailing Address - Phone:308-398-6050
Mailing Address - Fax:
Practice Address - Street 1:908 N HOWARD AVE STE 102
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-3529
Practice Address - Country:US
Practice Address - Phone:308-398-6050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-10
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1276101YA0400X
NE1883101YM0800X, 101YP2500X
NE4887101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEP-1415OtherNEBRASKA DEPARTMENT OF HEALTH & HUMAN SERVICES
NE10029535300Medicaid
NE1883OtherNEBRASKA DHHS
NE4887OtherNEBRASKA DEPARTMENT OF HEATLH & HUMAN SERVICES
NE1276OtherNEBRASKA DHHS