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

Tracy Lynn Detty

Individual provider Counselor · NPI 1285069328

Tracy Lynn Detty is a Mental Health Counselor in Puyallup, Washington. Qualified in 2000, 26 years ago. Practices with Sailor Health Medical PA, a 263-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
26
Licensed in
WA
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

305 E Pioneer
Puyallup, WA 98372-3265
Phone: (253) 697-8452
Fax: (253) 697-3730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH60915922 (WA)
Counselor Taxonomy 101Y00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1285069328
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2013
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021
Mailing address305 E Pioneer, Puyallup, WA 98372-3265

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Sailor Health Medical Pa — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Puyallup