TRACEY LYNETTE WILSON
NPI 1952062317
Counselor in Fairfax, VA
About Tracey Lynette Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACEY LYNETTE WILSON (NPI 1952062317) is an individual counselor in Fairfax, Virginia and active in the NPI registry since January 2022. 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)
Tracey Lynette Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tracey Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tracey Wilson's NPI number?
The NPI number for Tracey Wilson is 1952062317. It was assigned to this individual provider in the NPPES registry on January 6, 2022.
Where is Tracey Wilson located?
Tracey Wilson practices at 3613 Chain Bridge Rd Ste D, Fairfax, VA 22030. The listed phone number is (703) 397-8163.
What is Tracey Wilson's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Tracey Wilson enrolled in Medicare?
Yes. Tracey Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tracey Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Wilson reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Tracey Wilson'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 Tracey Wilson was last updated on January 6, 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.
# Tracey Lynette Wilson · NPI 1952062317
Counselor provider in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since January 6, 2022.
## Identity
- **NPI:** 1952062317 (Entity type: Individual)
- **Enumerated:** January 6, 2022
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3613 CHAIN BRIDGE RD STE D, Fairfax, VA 22030-3238
- **Phone:** (703) 397-8163
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1952062317) · Data from the CMS NPPES public registry.