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

Tracy Gillock

Individual provider Peer Specialist · NPI 1407678659

Tracy Gillock is a Peer Specialist in Albuquerque, New Mexico. Works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2024
Specialties on file
3

Practice location Address checks out

13139 Central Ave NE
Albuquerque, NM 87123-3031
Phone: (505) 595-1607
Show map & directions

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

Additional practice locations (1)

  • 1528 5 Pts Rd Sw, Albuquerque, NM 87105-3179 — (505) 588-7438

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CTB-2026-0362 (NM)
Peer Specialist Taxonomy 175T00000X · Licence 1843 (NM)
Community Health Worker Taxonomy 172V00000X (NM)

Record details

NPI number1407678659
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2024
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address13139 Central Ave Ne, Albuquerque, NM 87123-3031

Other providers in Albuquerque