Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tracy Doerr, LPCC/LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1194492025

Tracy Doerr, LPCC/LADC is a Mental Health Counselor in Coon Rapids, Minnesota. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2021
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10464 Hollywood Blvd NW
Coon Rapids, MN 55433-4517
Phone: (612) 900-8934
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3801 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 303832 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence 3801 (MN)

Record details

NPI number1194492025
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC/LADC
Sole proprietorYes
NPI enumeratedAugust 27, 2021
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024
Mailing address10464 Hollywood Blvd Nw, Coon Rapids, MN 55433-4517

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Coon Rapids