TRACY BLAD (MA,LMFT) – Marriage & Family Therapist, NPI 1871019919
Marriage & Family Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
981 MARRIAGE AND FAMILY THERAPIST in MN
Provider Addresses for TRACY BLAD (MA,LMFT)
28301 Humber St NE
North Branch, MN 550566353
Phone: (651) 808-0445
Type: Location
2201 NW CORPORATE BLVD STE 101
BOCA RATON, FL 334317337
Phone: (561) 617-8751
Fax: (561) 423-0711
Type: Location
28301 HUMBER ST NE
NORTH BRANCH, MN 550566353
Phone: (651) 808-0445
Type: Mailing
Pheasant Ridge Drive Northeast, Village of Blaine, Blaine, Anoka County, Minnesota, 55449, United States
BLAINE, MN 554495066
Phone: (763) 703-3754
Type: Mailing
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: 2025-09-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240802001649 | I | Marriage And Family Therapist | FL | TBD |
| I20250924000417 | I | Marriage And Family Therapist | MN | TBD |
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.
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 55056)
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