TRACI ANN AUTRY LMFT
NPI 1164803441
Marriage & Family Therapist in San Luis Obispo, CA

Active since June 12, 2015PECOS Enrolled
285 SOUTH ST, SUITE J, SAN LUIS OBISPO, CA 93401(805) 547-7025 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2022, Oct 3, 2018 (2 updates tracked since 2018).

About Traci Ann Autry Lmft NPPES

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

TRACI ANN AUTRY LMFT (NPI 1164803441) is an individual marriage & family therapist in San Luis Obispo, California, licensed in California (LMFT95987) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164803441
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTRACI ANN AUTRYCredential: LMFT
Location Address285 SOUTH ST, SUITE JSan Luis Obispo, CA 93401-5037
Mailing Address285 South St, Suite JSan Luis Obispo, CA 93401-5037 · (805) 547-7025
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 12, 2015
Last NPPES UpdateJune 10, 20222 updates tracked since enumeration
NPPES CertifiedJune 10, 2022
NPI 1164803441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · LMFT95987 Licensed in CA · 80459
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

285 SOUTH ST, San Luis Obispo, CA 93401

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Traci Ann Autry Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648715714
PECOS Enrollment IDI20240712001983
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

Case Manager/Care Coordinator
285 SOUTH ST, SUITE J
SAN LUIS OBISPO, CA 93401
Psychologist
285 SOUTH ST
SAN LUIS OBISPO, CA 93401
Licensed Vocational Nurse
285 SOUTH ST, SUITE J
SAN LUIS OBISPO, CA 93401
Case Management
285 SOUTH ST, SUITE J
SAN LUIS OBISPO, CA 93401
Counselor
285 SOUTH ST, SUITE J
SAN LUIS OBISPO, CA 93401
Counselor
285 SOUTH ST, SUITE J
SAN LUIS OBISPO, CA 93401
Counselor
285 SOUTH ST, SUITE J
SAN LUIS OBISPO, CA 93401
Community/Behavioral Health
285 SOUTH ST, SUITE J
SAN LUIS OBISPO, CA 93401

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 Traci Autry's NPI number?

The NPI number for Traci Autry is 1164803441. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Traci Autry located?

Traci Autry practices at 285 South St Suite J, San Luis Obispo, CA 93401. The listed phone number is (805) 547-7025.

What is Traci Autry's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Traci Autry enrolled in Medicare?

Yes. Traci Autry is registered in the Medicare PECOS enrollment system.

What insurance does Traci Autry accept?

Health plans from Providence Health Plan list Traci Autry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Traci Autry was last updated on June 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.