MEDICARE: ASCEND PSYCHOLOGY SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1154289825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCEND PSYCHOLOGY SERVICES PLLC

Provider Business Mailing Address
First Line	:	598 WATERLINE LOOP
Second Line	:
City	:	CAMANO ISLAND
State	:	WA
Zip	:	98282-7584
Country	:	US
Telephone Number	:	253-279-5121
Fax Number	:

Provider Business Practice Location Address
First Line	:	869 N SUNRISE BLVD
Second Line	:
City	:	CAMANO ISLAND
State	:	WA
Zip	:	98282-5532
Country	:	US
Telephone Number	:	253-279-5121
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TRACI LEE DRAKE
Credential	:	PH.D.
Telephone Number	:	253-279-5121

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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