TRACEE PHANCO LMFT
NPI 1528447802
Marriage & Family Therapist in Clovis, CA

Active since May 20, 2015Opted out of Medicare · through May 18, 2027
264 CLOVIS AVE, SUITE 211, CLOVIS, CA 93612(559) 797-1711(559) 324-6565 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracee Phanco Lmft NPPES

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

TRACEE PHANCO LMFT (NPI 1528447802) is an individual marriage & family therapist in Clovis, California, licensed in California (86023) and active in the NPI registry since May 2015. She has opted out of Medicare through May 18, 2027.

NPPES Registry Identity

NPI1528447802
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTRACEE PHANCOCredential: LMFT
Location Address264 CLOVIS AVE, SUITE 211Clovis, CA 93612-1115
Mailing Address264 Clovis Ave, Suite 211Clovis, CA 93612-1115 · (559) 797-1711 · Fax (559) 324-6565
Fax(559) 324-6565
Sole ProprietorYes
Enumeration DateMay 20, 2015
NPI 1528447802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 86023
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

264 CLOVIS AVE, Clovis, CA 93612

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Tracee Phanco Lmft 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 May 18, 2025 through May 18, 2027.

Opt-Out Effective DateMay 18, 2025
Opt-Out In Effect ThroughMay 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

Marriage & Family Therapist
264 CLOVIS AVE, 213
CLOVIS, CA 93612
Marriage & Family Therapist
264 CLOVIS AVE
CLOVIS, CA 93612
Marriage & Family Therapist
264 CLOVIS AVE, STE 212
CLOVIS, CA 93612
Social Worker (Clinical)
264 CLOVIS AVE, SUITE 104
CLOVIS, CA 93612
Counselor (Professional)
264 CLOVIS AVE
CLOVIS, CA 93612
Counselor (Mental Health)
264 CLOVIS AVE
CLOVIS, CA 93612
Orthopaedic Surgery
264 CLOVIS AVE, SUITE 207
CLOVIS, CA 93612
Marriage & Family Therapist
264 CLOVIS AVE
CLOVIS, CA 93612

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 Tracee Phanco's NPI number?

The NPI number for Tracee Phanco is 1528447802. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Where is Tracee Phanco located?

Tracee Phanco practices at 264 Clovis Ave Suite 211, Clovis, CA 93612. The listed phone number is (559) 797-1711.

What is Tracee Phanco's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Tracee Phanco enrolled in Medicare?

No. Tracee Phanco has opted out of Medicare through May 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tracee Phanco was last updated on May 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.