TRACEY ANNE LEXVOLD (LPCC) – Mental Health Counselor, NPI 1134856586

TRACEY ANNE LEXVOLD (LPCC) is a healthcare provider. based in Hibbing, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. CC03350 (MN). The NPI Number for TRACEY ANNE LEXVOLD (LPCC) is 1134856586

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY ANNE LEXVOLD (LPCC)
NPI
1134856586
Phone
(218) 263-9237
Address
3203 3RD AVE W
Enumeration Date
5 August 2022
Last Update Date
22 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2182639237
Graduation Year
2019 (7 years ago)
PAC ID
4284071804
Group Practice PAC ID
3173434628
Professional Enrollment ID
I20240319001267
Address ID
MN557462406HI3203XWXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for TRACEY ANNE LEXVOLD (LPCC)

  • 3203 3RD AVE W

    HIBBING, MN 557462406

    Phone: (218) 263-9237

    Mailing address matches the actual address.

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: 2024-03-19

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
I20240319001267IMental Health CounselorMNTBD

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 55746)

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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: 3173434628View full group profile
NameSpecialtyState
Mental Health CounselorMN
Clinical Social WorkerMN
-MN
-MN
-MN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What is the registry number for TRACEY ANNE LEXVOLD (LPCC)?
The registry entry for TRACEY ANNE LEXVOLD (LPCC) shows NPI 1134856586.
Is TRACEY ANNE LEXVOLD (LPCC)'s NPI status active today?
Active status means TRACEY ANNE LEXVOLD (LPCC)'s NPI record is not deactivated in the public file.
How should patients interpret TRACEY ANNE LEXVOLD (LPCC)'s specialty?
The extract shows Mental Health Counselor for TRACEY ANNE LEXVOLD (LPCC). Clinical services aligned with this taxonomy classification.
What geographic area is tied to TRACEY ANNE LEXVOLD (LPCC)?
TRACEY ANNE LEXVOLD (LPCC) is associated with Hibbing, Minnesota in the same public data insurers reference.
Can I export TRACEY ANNE LEXVOLD (LPCC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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