TRACI LEANNE PAVLAS CRC, NPN
NPI 1215709332
Counselor in San Diego, CA

Q: What is Traci Pavlas's NPI number?

The NPI number for Traci Pavlas is 1215709332. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Q: What is Traci Pavlas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Traci Pavlas was last updated on October 23, 2023. 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.

Active since October 23, 2023

1402 PENNSYLVANIA AVE APT 12, SAN DIEGO, CA 92103(619) 988-1218 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Traci Leanne Pavlas Crc, Npn NPPES

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

TRACI LEANNE PAVLAS CRC, NPN (NPI 1215709332) is an individual counselor in San Diego, California, licensed in California (148809) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1215709332

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameTRACI LEANNE PAVLASCredential: CRC, NPN

Location Address1402 PENNSYLVANIA AVE APT 12San Diego, CA 92103-4561

Mailing Address1402 Pennsylvania Ave Apt 12San Diego, CA 92103-4561 · (619) 988-1218

Phone(619) 988-1218

Sole ProprietorYes

Enumeration DateOctober 23, 2023

NPPES CertifiedOctober 22, 2023

✔ NPI 1215709332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in CA · 148809

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.

1402 PENNSYLVANIA AVE APT 12, San Diego, CA 92103

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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 Pavlas's NPI number?

The NPI number for Traci Pavlas is 1215709332. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Traci Pavlas located?

Traci Pavlas practices at 1402 Pennsylvania Ave Apt 12, San Diego, CA 92103. The listed phone number is (619) 988-1218.

What is Traci Pavlas's specialty?

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

When was this NPI record last updated?

The NPPES record for Traci Pavlas was last updated on October 23, 2023. 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.