MRS. PATRICE E AGREDANO – Marriage & Family Therapist, NPI 1053504472

MRS. PATRICE E AGREDANO is a healthcare provider. based in Roseville, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 102263 (CA). The NPI Number for MRS. PATRICE E AGREDANO is 1053504472

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. PATRICE E AGREDANO
NPI
1053504472
Phone
(916) 320-2503
Address
1451 ROCKY RIDGE DR APT 1109
Enumeration Date
20 August 2007
Last Update Date
15 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9165318359
Graduation Year
2008 (18 years ago)
PAC ID
3375996325
Group Practice PAC ID
5799012266
Professional Enrollment ID
I20240126000667
Address ID
CA956100392CI8421XBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

Provider Addresses for MRS. PATRICE E AGREDANO

  • 1451 ROCKY RIDGE DR APT 1109

    ROSEVILLE, CA 956613007

    Phone: (916) 320-2503

    Fax: (916) 283-8259

    Type: Mailing

  • 401B Vernon Street

    Roseville, CA 956789567

    Phone: (916) 581-0054

    Type: Location

  • 212, I Street, Davis, Yolo County, California, 95616, United States

    DAVIS, CA 956164213

    Phone: (530) 601-5959

    Fax: (916) 287-4679

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240126000667IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95661)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799012266View full group profile
NameSpecialtyState
Mental Health CounselorCA
Marriage And Family TherapistCA
Mental Health CounselorCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Clinical Social WorkerCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. PATRICE E AGREDANO's NPI?
Yes. MRS. PATRICE E AGREDANO is listed with NPI 1053504472 in the public NPI dataset.
Is MRS. PATRICE E AGREDANO listed as active for patients and plans?
The listing shows MRS. PATRICE E AGREDANO as active in the NPI system.
What taxonomy line describes MRS. PATRICE E AGREDANO?
For research purposes, treat MRS. PATRICE E AGREDANO as Marriage & Family Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does MRS. PATRICE E AGREDANO serve?
MRS. PATRICE E AGREDANO's listing highlights Roseville, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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