TRACY DOERR LPCC/LADC
NPI 1194492025
Counselor - Mental Health in Coon Rapids, MN
About Tracy Doerr Lpcc/ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY DOERR LPCC/LADC (NPI 1194492025) is an individual mental health provider in Coon Rapids, Minnesota, licensed in Minnesota (3801) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracy Doerr Lpcc/ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tracy Doerr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fridley, MN 55432
- Reassigned Medicare billing, Minnesota enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tracy Doerr's NPI number?
The NPI number for Tracy Doerr is 1194492025. It was assigned to this individual provider in the NPPES registry on August 27, 2021.
Where is Tracy Doerr located?
Tracy Doerr practices at 10464 Hollywood Blvd NW, Coon Rapids, MN 55433. The listed phone number is (612) 900-8934.
What is Tracy Doerr's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tracy Doerr enrolled in Medicare?
Yes. Tracy Doerr is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tracy Doerr's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Doerr reassigns Medicare benefits to Wild & Free Counseling (Fridley, 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 Tracy Doerr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracy Doerr accept?
Health plans from HealthPartners list Tracy Doerr 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 Tracy Doerr was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tracy Doerr, LPCC/LADC · NPI 1194492025
Mental Health provider in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since August 27, 2021.
## Identity
- **NPI:** 1194492025 (Entity type: Individual)
- **Enumerated:** August 27, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 3801 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10464 HOLLYWOOD BLVD NW, Coon Rapids, MN 55433-4517
- **Phone:** (612) 900-8934
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Wild & Free Counseling (NPI 1689454951, Fridley, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 20, 2024
- **Other identifiers:** Medicaid N204188757206 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1194492025) · Data from the CMS NPPES public registry.