1. Home
  2. Directory
  3. Minnesota
  4. Maplewood
  5. Speech Language Pathologist
  6. NPI Profile

TRACIE TREHARNE
NPI 1154714954
Speech-Language Pathologist in Maplewood, MN

Active since March 18, 2015
2495 MAPLEWOOD DR N STE 313, MAPLEWOOD, MN 55109(651) 770-8884(651) 770-8151 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tracie Treharne NPPES

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

TRACIE TREHARNE (NPI 1154714954) is an individual speech-language pathologist provider in Maplewood, Minnesota, licensed in Minnesota (LICC-216) and active in the NPI registry since March 2015. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1154714954
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameTRACIE TREHARNE
Location Address2495 MAPLEWOOD DR N STE 313Maplewood, MN 55109-1985
Mailing Address2495 Maplewood Dr N Ste 313Maplewood, MN 55109-1985 · (651) 770-8884 · Fax (651) 770-8151
Phone(651) 770-8884
Fax(651) 770-8151
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 18, 2015
Last NPPES UpdateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
✔ NPI 1154714954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · LICC-216
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2495 MAPLEWOOD DR N STE 313, Maplewood, MN 55109
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracie Treharne is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002395571
PECOS Enrollment IDI20260205002766

Medicare Billing Reassignment

Medicare enrollment records show Tracie Treharne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Functional Integrated Therapy, Ltd
0.2 mi
Rehabilitation
2495 MAPLEWOOD DRIVE, SUITE 313
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 20 clinicians in this Medicare group
NPI 1477640613 (651) 770-8884

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

MS. NAOMI LINDA SIEGAL OTR
Occupational Therapist
2495 MAPLEWOOD DR N STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884
LANA PARKE-REIMER
Speech-Language Pathologist
2495 MAPLEWOOD DR N STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884
SARAH ULMAN CCC-SLP
Speech-Language Pathologist
2495 MAPLEWOOD DR N STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884
KRISTI ANN HAAS PT, DPT
Physical Therapist
2495 MAPLEWOOD DR N STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884
MIRANDA BIEGON SWENSEN DPT
Physical Therapist
2495 MAPLEWOOD DR N STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884
MRS. ALISON MIRELEZ M.S., OTR-L
Occupational Therapist (Pediatrics)
2495 MAPLEWOOD DR N STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884
KELSIE JANE DANCHERTSEN OTR/L
Occupational Therapist (Pediatrics)
2495 MAPLEWOOD DR N STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884
MS. HOLLY MARIE BROWN COTA/L
Occupational Therapist (Pediatrics)
2495 MAPLEWOOD DR N STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracie Treharne's NPI number?

The NPI number for Tracie Treharne is 1154714954. It was assigned to this individual provider in the NPPES registry on March 18, 2015.

Where is Tracie Treharne located?

Tracie Treharne practices at 2495 Maplewood Dr N Ste 313, Maplewood, MN 55109. The listed phone number is (651) 770-8884.

What is Tracie Treharne's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Tracie Treharne enrolled in Medicare?

Yes. Tracie Treharne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracie Treharne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracie Treharne reassigns Medicare benefits to Functional Integrated Therapy, Ltd (Maplewood, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracie Treharne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracie Treharne was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.