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

Active since January 20, 2020PECOS EnrolledAccepts Medicare Assignment
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: October 25, 2026.

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

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 and is a graduate of Other (2017).

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
Medical School CMSOtherGraduated 2017
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tracy Lynn Fradiue Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416489323
PECOS Enrollment IDI20241016004601
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.

Medicare Billing Reassignment

Medicare enrollment records show Tracy Fradiue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
347 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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 20

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

ELIZABETH RAMIREZ
Counselor
600 N ARROWHEAD AVE STE 300
SAN BERNARDINO, CA 92401
San Bernardino County (909) 522-4656
CHRISTIAN KOEU
Social Worker
600 N ARROWHEAD AVE STE 300
SAN BERNARDINO, CA 92401
San Bernardino County (909) 522-4656
ELIZABETH CASAS-VALDOVINOS
Counselor (Mental Health)
600 N ARROWHEAD AVE STE 300
SAN BERNARDINO, CA 92401
San Bernardino County (909) 450-2502
YHAN MAURICIO RIOS
Marriage & Family Therapist
600 N ARROWHEAD AVE STE 300
SAN BERNARDINO, CA 92401
San Bernardino County (909) 522-4656
MS. REBECCA LYNN CALABRESE MA, LPCC #6395
Counselor (Professional)
600 N ARROWHEAD AVE STE 300
SAN BERNARDINO, CA 92401
San Bernardino County (909) 522-5812
KRYSTAL ZIELEN LMFT
Marriage & Family Therapist
600 N ARROWHEAD AVE STE 300
SAN BERNARDINO, CA 92401
San Bernardino County (909) 522-4656
ELVA ALEJANDRA SILVA ACSW
Social Worker
600 N ARROWHEAD AVE STE 300
SAN BERNARDINO, CA 92401
San Bernardino County (909) 522-4656
ALYSSA I TORRES
Student in an Organized Health Care Education/Training Program
600 N ARROWHEAD AVE STE 300
SAN BERNARDINO, CA 92401
San Bernardino County (909) 522-4656

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 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.

Where is Tracy Fradiue located?

Tracy Fradiue practices at 600 N Arrowhead Ave Ste 300, San Bernardino, CA 92401. The listed phone number is (909) 522-4656.

What is Tracy Fradiue's specialty?

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

Is Tracy Fradiue enrolled in Medicare?

Yes. Tracy Fradiue is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tracy Fradiue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Fradiue reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). 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 Fradiue'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 Fradiue was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.