Individual provider Active NPI

Tracy Michele Reid

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1518372192
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT132814 Issued in CA
Practice address
25201 Paseo de Alicia Ste 260
Laguna Hills, CA 92653-4626
Phone
(949) 444-2014
Fax
(949) 707-0442
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT132814 CA Primary

Addresses

Primary practice location

25201 Paseo de Alicia Ste 260
Laguna Hills, CA 92653-4626

Mailing address

25201 Paseo de Alicia Ste 260
Laguna Hills, CA 92653-4626
Phone (949) 444-2014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251113002530 CA Practitioner - Marriage and Family Therapist 9032600440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5380 La Crescenta
Yorba Linda, CA 92887-4013

5762 Bolsa Ave
Suite 107
Huntington Beach, CA 92649-1172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132814CAMDClinical Social Worker
MFT132814CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Autism 360 Support LLC CurrentSince Aug 23, 2025 Accepting new patients
Associated Therapists, Inc. Psychologist CurrentSince Aug 23, 2025 Accepting new patients

Locations

5762 Bolsa Ave
Ste 107
Huntington Beach, CA 92649
Phone (714) 891-7301

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1518372192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25201 PASEO DE ALICIA STE 260",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534626",
            "telephone_number": "949-444-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25201 PASEO DE ALICIA STE 260",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534626",
            "telephone_number": "949-444-2014",
            "fax_number": "949-707-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "TRACY",
        "middle_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT132814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.