Tracie A Nicoll, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4860 Issued in CO

Practice address

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

Phone

(719) 247-3561

Fax

(719) 362-4439

NPI assigned

Sep 10, 2018

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tracie a Nicoll PHD

  • Adult Mental Health Clinic/Center
  • Colorado Springs, CO
  • NPI 1194331215

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Nicoll Holdings, LLC

  • Assisted Living Facility
  • Colorado Springs, CO
  • NPI 1871078907
  NPD

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1558844225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHANTREY CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064395",
            "telephone_number": "719-232-5223",
            "fax_number": "719-487-9530"
        },
        {
            "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": {
        "last_name": "NICOLL",
        "first_name": "TRACIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "4860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Dawn Nicks
• Rhianna Nicks
• Anna Nicol, LCSW
• Jennifer Ashley Nicol
• Nicoll Holdings, LLC
• Abigail Nicole Niebling
• Amanda Niederhauser
• Ronda Niederhauser, PHD
• Brent J Nielsen, DMD
• Briklin Nielsen, DDS, MS

• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.