Organization Active NPI

Tracie a Nicoll PHD

  • Adult Mental Health Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1194331215
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TRACIE A NICOLL PHD
Practice address
2630 Tenderfoot Hill St Ste 114
Colorado Springs, CO 80906-7373
Phone
(719) 247-3561
Fax
(719) 362-4439
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Dr. Tracie A Nicoll, PHDNPI 1558844225
Title
Clinical Psychologist
Phone
(719) 247-3561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2630 Tenderfoot Hill St Ste 114
Colorado Springs, CO 80906-7373

Mailing address

2630 Tenderfoot Hill St Ste 114
Colorado Springs, CO 80906-7373
Phone (719) 247-3561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201113000768 CO Part B Supplier - Clinic/Group Practice 4284044629 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

245 E Cheyenne Mountain Blvd
Colorado Springs, CO 80906
Phone (719) 229-1172

2630 Tenderfoot Hill St
Ste 114
Colorado Springs, CO 80906

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1194331215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 TENDERFOOT HILL ST STE 114",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067373",
            "telephone_number": "719-247-3561",
            "fax_number": "719-362-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 TENDERFOOT HILL ST STE 114",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067373",
            "telephone_number": "719-247-3561",
            "fax_number": "719-362-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACIE A NICOLL PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "NICOLL",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "719-247-3561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.