PATRICE TRACY LPC
NPI 1972901775
Counselor - Professional in Largo, MD
About Patrice Tracy Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICE TRACY LPC (NPI 1972901775) is an individual professional provider in Largo, Maryland, licensed in Maryland (LGP4989) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hyattsville.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patrice Tracy Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Patrice Tracy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Suitland, MD 20746
- Reassigned Medicare billing, District of Columbia enrollment
- 2,492 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LARGO, MD 20774
LARGO, MD 20774
LARGO, MD 20774
LARGO, MD 20774
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 Patrice Tracy's NPI number?
The NPI number for Patrice Tracy is 1972901775. It was assigned to this individual provider in the NPPES registry on December 10, 2014. The provider is also known as Patrice Olubayo Lpc.
Where is Patrice Tracy located?
Patrice Tracy practices at 1221 Mercantile Ln, Largo, MD 20774. The listed phone number is (301) 618-5500.
What is Patrice Tracy's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Patrice Tracy enrolled in Medicare?
Yes. Patrice Tracy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Patrice Tracy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patrice Tracy reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Suitland, MD). 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 Patrice Tracy'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 Patrice Tracy was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Patrice Tracy, LPC · NPI 1972901775
Professional provider in Largo, Maryland. Individual provider, active in the CMS NPPES registry since December 10, 2014.
## Identity
- **NPI:** 1972901775 (Entity type: Individual)
- **Enumerated:** December 10, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LGP4989 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1221 MERCANTILE LN, Largo, MD 20774-5374
- **Phone:** (301) 618-5500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1730200965, Suitland, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1972901775) · Data from the CMS NPPES public registry.