AUDREY RAE TRICOU PHD
NPI 1265034870
Psychologist - Clinical in Los Angeles, CA

Active since November 10, 2020PECOS Enrolled
1031 W 34TH ST SUITE 500, LOS ANGELES, CA 90095(213) 821-6500 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2026, Nov 16, 2022, Jul 15, 2022 and 1 more (4 updates tracked since 2020).

About Audrey Rae Tricou Phd NPPES

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

AUDREY RAE TRICOU PHD (NPI 1265034870) is an individual clinical provider in Los Angeles, California, licensed in California (PSY33102) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265034870
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameAUDREY RAE TRICOUCredential: PHD
Location Address1031 W 34TH ST SUITE 500Los Angeles, CA 90095-0001
Mailing AddressPo Box 50938Los Angeles, CA 90074-0938 · (626) 457-6601
Sole ProprietorNo
Enumeration DateNovember 10, 2020
Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
NPI 1265034870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY33102
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X
1031 W 34TH ST SUITE 500, Los Angeles, CA 90095

Other Names 1

Former Name (1)Audrey Rae Witrupp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Audrey Rae Tricou Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Audrey Tricou's NPI number?

The NPI number for Audrey Tricou is 1265034870. It was assigned to this individual provider in the NPPES registry on November 10, 2020. The provider is also known as Audrey Rae Witrupp.

Where is Audrey Tricou located?

Audrey Tricou practices at 1031 W 34th St Suite 500, Los Angeles, CA 90095. The listed phone number is (213) 821-6500.

What is Audrey Tricou's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Audrey Tricou enrolled in Medicare?

Yes. Audrey Tricou is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audrey Tricou was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.