Individual provider Active NPI

Tracy Fogliasso

  • Clinical Psychologist
  • Topeka, KS
National Provider Identifier
1528630993
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2596 Issued in KS
Practice address
2121 SW Chelsea Dr
Topeka, KS 66614-1756
Phone
(785) 291-9644
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2596 KS Primary

Addresses

Primary practice location

2121 SW Chelsea Dr
Topeka, KS 66614-1756

Mailing address

2121 SW Chelsea Dr
Topeka, KS 66614-1756

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

State licenses

LicenseStateTypeSpecialty
2596KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Kansas Mental Health Center Past Accepting new patients
Central Kansas Mental Health Center Past Accepting new patients
Pawnee Mental Health Service, Inc. PastSince May 18, 2025 Accepting new patients
Elizabeth Layton Center, Inc. PastSince Nov 1, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ckmhc/r4/

Organizations & group practices 4

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1528630993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 SW CHELSEA DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666141756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SW CHELSEA DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666141756",
            "telephone_number": "785-291-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLIASSO",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.