TRACEY MOFIDI
NPI 1033659560
Counselor in Seattle, WA

Q: What is Tracey Mofidi's NPI number?

The NPI number for Tracey Mofidi is 1033659560. It was assigned to this individual provider in the NPPES registry on March 2, 2017. The provider is also known as Tracey Osborn.

Q: What is Tracey Mofidi's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Tracey Mofidi enrolled in Medicare?

No. Tracey Mofidi has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Tracey Mofidi was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 02, 2017Opted out of Medicare · through Jan 1, 2028

1902 2ND AVE, STE 208, SEATTLE, WA 98101(206) 956-9570(206) 448-8495 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Mar 2, 2017 (2 updates tracked since 2017).

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About Tracey Mofidi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY MOFIDI (NPI 1033659560) is an individual counselor in Seattle, Washington, licensed in Washington (MC60612318) and active in the NPI registry since March 2017. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1033659560

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameTRACEY MOFIDI

Location Address1902 2ND AVE, STE 208Seattle, WA 98101-1155

Mailing Address2722 Eastlake Ave E Ste 300Seattle, WA 98102-3143 · (206) 866-4609

Phone(206) 956-9570

Fax(206) 448-8495

Sole ProprietorNo

Enumeration DateMarch 2, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1033659560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · MC60612318

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CO60633268 (WA)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH60585615 (WA)

1902 2ND AVE, Seattle, WA 98101

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Other Names 1

Former Name (1)Tracey Osborn

Secondary Practice Location 1

Location 12722 Eastlake Ave E Ste 300Seattle, WA 98102-3143 · Phone (206) 823-0554

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tracey Mofidi has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL LOUGH

Student in an Organized Health Care Education/Training Program