Individual provider Active NPI

Tracy Renee Hull, M.ED., LPC, RPT

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1124407630
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0015314 Issued in CO
Practice address
2627 Redwing Rd Ste 190
Fort Collins, CO 80526-6443
Phone
(405) 315-3544
NPI assigned
May 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0015314 CO Primary
Professional Counselor 101YP2500X
School Counselor 101YS0200X 404312 OK

Addresses

Primary practice location

2627 Redwing Rd Ste 190
Fort Collins, CO 80526-6443

Mailing address

2627 Redwing Rd Ste 190
Fort Collins, CO 80526-6443
Phone (970) 400-7443

Other practice location 1

1409 S Division St
Guthrie, OK 73044-5009
Phone (405) 315-3544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC.0015314COMDProfessional Counselor
404312OKMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Minds Matter Mental Health LLC Current Accepting new patients
Minds Matter Mental Health LLC Professional Current Accepting new patients

Locations

2627 Redwing Rd
Ste 190
Fort Collins, CO 80526
Phone (405) 315-3544

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1124407630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 190",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266443",
            "telephone_number": "970-400-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 190",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266443",
            "telephone_number": "405-315-3544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 S Division St",
            "address_purpose": "LOCATION",
            "city": "Guthrie",
            "state": "OK",
            "postal_code": "730445009",
            "country_code": "US",
            "telephone_number": "405-315-3544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULL",
        "first_name": "TRACY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0015314",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "OK",
            "license": "404312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.