Active NPI
Tracie a Nicoll PHD
- Adult Mental Health Clinic/Center
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tracie A Nicoll, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.