MRS. TRACY LYNN FRADIUE LMFT
NPI 1679103543
Marriage & Family Therapist in San Bernardino, CA

Q: What is Tracy Fradiue's NPI number?

The NPI number for Tracy Fradiue is 1679103543. It was assigned to this individual provider in the NPPES registry on January 20, 2020.

Q: What is Tracy Fradiue's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracy Fradiue was last updated on June 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 20, 2020PECOS Enrolled

600 N ARROWHEAD AVE STE 300, SAN BERNARDINO, CA 92401(909) 522-4656(909) 763-5525 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 5, 2023, Aug 19, 2022, Feb 22, 2021 and 1 more (4 updates tracked since 2020).

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About Mrs. Tracy Lynn Fradiue Lmft NPPES

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

MRS. TRACY LYNN FRADIUE LMFT (NPI 1679103543) is an individual marriage & family therapist in San Bernardino, California, licensed in California (139804) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679103543

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. TRACY LYNN FRADIUECredential: LMFT

Location Address600 N ARROWHEAD AVE STE 300San Bernardino, CA 92401-1148

Mailing Address600 N Arrowhead Ave Ste 300San Bernardino, CA 92401-1148 · (909) 522-4656 · Fax (909) 763-5525

Phone(909) 522-4656

Fax(909) 763-5525

Sole ProprietorNo

Enumeration DateJanuary 20, 2020

Last NPPES UpdateJune 5, 20234 updates tracked since enumeration

NPPES CertifiedJune 5, 2023

✔ NPI 1679103543 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 · 139804

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.

600 N ARROWHEAD AVE STE 300, San Bernardino, CA 92401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tracy Lynn Fradiue Lmft 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.

Other Providers at the Same Location NPPES 19

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

ELIZABETH CASAS-VALDOVINOS

Counselor (Mental Health)