Active NPI
Collin Tracy, MFA, MA, NCC, LPCC
- Mental Health Counselor
- Boulder, CO
National Provider Identifier
1427618610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC.0016743
- Practice address
- 2299 Pearl St
Boulder, CO 80302-4668 - Phone
- (303) 910-5591
- NPI assigned
- Jun 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC.0016743 | CO | Primary |
Addresses
Primary practice location
2299 Pearl St
Boulder, CO 80302-4668
Mailing address
PO Box 287
Lyons, CO 80540-0287
Phone (303) 579-0329
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 Arts, Master of Fine Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0016743 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1427618610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 287",
"city": "LYONS",
"state": "CO",
"postal_code": "805400287",
"telephone_number": "303-579-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2299 PEARL ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024668",
"telephone_number": "303-910-5591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "COLLIN",
"name_prefix": "Ms.",
"credential": "MFA, MA, NCC, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPCC.0016743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.