Michelle Tracy, LMFT
Marriage & Family Therapist in North San Juan, CA. Individual provider (NPI-1).
NPI number1124455316
StatusActive
Last updated in NPPESMay 18, 2018
Details
- NPI
- 1124455316
- Entity type
- Individual (NPI-1)
- Name
- Michelle Tracy
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2013
- Last updated
- May 18, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 106343 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | 82311 | CA |
Practice location
18262 Slide Mine RdNorth San Juan, CA 95960
Phone 530-277-3998
Mailing address
673 S Auburn St Ste BGrass Valley, CA 95945-7576
Phone 530-277-3998
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