TRACI PAGE (MA LPCC LADC) – Mental Health Counselor, NPI 1346659307

TRACI PAGE (MA LPCC LADC) is a healthcare provider. based in Ramsey, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA LPCC LADC. They hold a License No. 303916 (MN). The NPI Number for TRACI PAGE (MA LPCC LADC) is 1346659307

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
TRACI PAGE (MA LPCC LADC)
NPI
1346659307
Phone
(763) 458-2967
Address
5560 145TH CIR NW
Enumeration Date
4 August 2014
Last Update Date
27 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7636007996
Graduation Year
2012 (14 years ago)
PAC ID
9032540059
Group Practice PAC ID
9638552813
Professional Enrollment ID
I20240110002604
Address ID
MN553305711EL200XXNWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for TRACI PAGE (MA LPCC LADC)

  • 5560 145TH CIR NW

    RAMSEY, MN 553035168

    Phone: (763) 458-2967

    Fax: (763) 260-5150

    Type: Mailing

  • 200 5TH ST NW STE E

    ELK RIVER, MN 553305711

    Phone: (763) 458-2967

    Fax: (763) 260-5150

    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: 2024-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200507000726IClinical Social WorkerMNTBD
I20240110002604IMental 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 55303)

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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: 9638552813View full group profile
NameSpecialtyState
Mental Health CounselorMN
Clinical PsychologistMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Clinical PsychologistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

How is TRACI PAGE (MA LPCC LADC) identified in CMS data?
CMS-hosted NPPES data lists TRACI PAGE (MA LPCC LADC) with NPI 1346659307.
Does CMS list TRACI PAGE (MA LPCC LADC) as active?
Yes — TRACI PAGE (MA LPCC LADC) is active in the NPI listing used on this page.
What is TRACI PAGE (MA LPCC LADC) best known for clinically?
Directory data describes TRACI PAGE (MA LPCC LADC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What area does TRACI PAGE (MA LPCC LADC) serve?
TRACI PAGE (MA LPCC LADC)'s listing highlights Ramsey, Minnesota; more addresses can appear in NPPES.
Why does TRACI PAGE (MA LPCC LADC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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