Traci Leigh Campbell, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0004952 Issued in CO

Practice address

304 Inverness Way S Ste 225
Englewood, CO 80112-5841

Phone

(970) 310-3406

NPI assigned

Sep 25, 2008

Last updated

Jul 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Heart Centered Counseling, PC

  dba LifeStance Health

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1588038681
  Medicare reassignment Care Compare group NPD
• Heart Centered Counseling, PC

  dba LifeStance Health

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1558158584
  NPD
• Heart Centered Counseling, PC

  dba LifeStance Health

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1972145068
  NPD

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1588814636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 INVERNESS WAY S STE 225",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125841",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 INVERNESS WAY S STE 225",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125841",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TRACI",
        "middle_name": "LEIGH",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0014308",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004952",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "1212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caley Ridge Operations, LLC (Caley Ridge Assisted Living)
• Kimberly Callihan, FNP
• Christopher Joseph Campassi, M.S.; M.A.
• Scot Elliot Campbell, MD
• Spring W Campbell, DO
• Caroline Campos
• Shea Canaday
• Candida Dawn Delgatty, M.D., PH.D., PLLC (Englewood Family Physicians)
• Jessica Capers
• Leslie R Capin, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.