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TRACI ANN BARISCIANO
NPI 1760702468
Counselor in Philadelphia, PA

Active since June 03, 2010PECOS Enrolled
112 N BROAD ST, RM 821, PHILADELPHIA, PA 19102(215) 568-0860(215) 568-0769 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Traci Ann Barisciano NPPES

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

TRACI ANN BARISCIANO (NPI 1760702468) is an individual counselor in Philadelphia, Pennsylvania and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760702468
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTRACI ANN BARISCIANO
Location Address112 N BROAD ST, RM 821Philadelphia, PA 19102-1512
Mailing Address1040 N 2nd St, Apt 102Philadelphia, PA 19123-1551 · (917) 202-1165
Phone(215) 568-0860
Fax(215) 568-0769
Sole ProprietorNo
Enumeration DateJune 3, 2010
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1760702468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
112 N BROAD ST, Philadelphia, PA 19102
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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 (PECOS)

Traci Ann Barisciano 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.

Medicare Billing Reassignment

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

Permanente Medical Group Inc
2,460 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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.

CHRISTY LEHMAN
Counselor (Addiction (Substance Use Disorder))
112 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
RICHARD A. BETHKE
Case Manager/Care Coordinator
112 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
MS. TAMMIE DENISE HARLEY M.S. SPECIAL ED
Counselor
112 N BROAD ST
PHILA, PA 19102
Philadelphia County (215) 568-0860
JOHAN A GONZALEZ B.A.
Counselor
112 N BROAD ST
PHILA, PA 19102
Philadelphia County (215) 568-0860
MR. MARCUS B MATADI A.A.
Counselor
112 N BROAD ST, RM 821
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
AMANDA GIGANTE
Counselor (Mental Health)
112 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
MR. KYLE C PRINGLE B.S.
Counselor
112 N BROAD ST
PHILA, PA 19102
Philadelphia County (215) 568-0860
LESLIE BETH BECKER LCSW
Social Worker (Clinical)
112 N BROAD ST, RM 821
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860

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 Traci Barisciano's NPI number?

The NPI number for Traci Barisciano is 1760702468. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Traci Barisciano located?

Traci Barisciano practices at 112 N Broad St Rm 821, Philadelphia, PA 19102. The listed phone number is (215) 568-0860.

What is Traci Barisciano's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Traci Barisciano enrolled in Medicare?

Yes. Traci Barisciano is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Traci Barisciano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Traci Barisciano reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Traci Barisciano'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 Traci Barisciano was last updated on January 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.