MS. TRACY PASSARO LPC
NPI 1417015108
Counselor - Professional in Warren, PA
About Ms. Tracy Passaro Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TRACY PASSARO LPC (NPI 1417015108) is an individual professional provider in Warren, Pennsylvania, licensed in Pennsylvania (PC004260) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Tracy Passaro Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tracy Passaro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Warren, PA 16365
- Reassigned Medicare billing, Pennsylvania enrollment
- 6 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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WARREN, PA 16365
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 Passaro's NPI number?
The NPI number for Tracy Passaro is 1417015108. It was assigned to this individual provider in the NPPES registry on December 5, 2006.
Where is Tracy Passaro located?
Tracy Passaro practices at 514 W 3rd Ave, Warren, PA 16365. The listed phone number is (814) 723-5545.
What is Tracy Passaro's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tracy Passaro enrolled in Medicare?
Yes. Tracy Passaro is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tracy Passaro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Passaro reassigns Medicare benefits to Riverside Counseling, LLC (Warren, PA). 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 Passaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tracy Passaro was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ms. Tracy Passaro, LPC · NPI 1417015108
Professional provider in Warren, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1417015108 (Entity type: Individual)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC004260 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 514 W 3RD AVE, Warren, PA 16365-2201
- **Phone:** (814) 723-5545 · **Fax:** (814) 723-6355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Riverside Counseling, LLC (NPI 1972090967, Warren, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1417015108) · Data from the CMS NPPES public registry.