TRACI JO WATSON AMFT
NPI 1275280885
Counselor - Mental Health in Irvine, CA

Q: What is Traci Watson's NPI number?

The NPI number for Traci Watson is 1275280885. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Q: What is Traci Watson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Traci Watson enrolled in Medicare?

No. Traci Watson has opted out of Medicare through July 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Traci Watson was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 03, 2022Opted out of Medicare · through Jul 16, 2028

18 TECHNOLOGY DR STE 118, IRVINE, CA 92618(949) 922-4564 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Traci Jo Watson Amft NPPES

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

TRACI JO WATSON AMFT (NPI 1275280885) is an individual mental health provider in Irvine, California and active in the NPI registry since March 2022. She has opted out of Medicare through July 16, 2028.

NPPES Registry Identity

NPI1275280885

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameTRACI JO WATSONCredential: AMFT

Location Address18 TECHNOLOGY DR STE 118Irvine, CA 92618-2310

Mailing Address18 Technology Dr Ste 118Irvine, CA 92618-2310 · (949) 922-4564

Phone(949) 922-4564

Sole ProprietorNo

Enumeration DateMarch 3, 2022

NPPES CertifiedMarch 3, 2022

✔ NPI 1275280885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

18 TECHNOLOGY DR STE 118, Irvine, CA 92618

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Traci Jo Watson Amft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 16, 2024 through July 16, 2028.

Opt-Out Effective DateJuly 16, 2024

Opt-Out In Effect ThroughJuly 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

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

CONNECT PLAY THERAPY & FAMILY THERAPY, INC.

Clinic/Center (Adolescent and Children Mental Health)