Individual provider Active NPI

Tracey Harris, MSW, LCSW

  • Clinical Social Worker
  • Laramie, WY
National Provider Identifier
1639843345
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
427 S 21St St
Laramie, WY 82070-4323
Phone
(307) 459-3670
NPI assigned
Aug 5, 2021
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X NU Primary
Community Health Worker 172V00000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

427 S 21St St
Laramie, WY 82070-4323

Mailing address

4025 Rawlins St
Cheyenne, WY 82001-1900
Phone (307) 426-4797

Other practice location 1

200 Dell Range Blvd
Cheyenne, WY 82009-4705
Phone (307) 426-4797

Other practice location 2

1413 W 29th St
Loveland, CO 80538-2403
Phone (970) 942-3037

Other practice location 3

4006 Cleveland Ave
Bldg B, Ste 1
Wellington, CO 80549-5056
Phone (970) 672-4667

Other practice location 4

4025 Rawlins St
Cheyenne, WY 82001-1900
Phone (307) 426-4797

Other practice location 5

3257 W 20th St Ste 200
Greeley, CO 80634-6550
Phone (970) 672-4667

Other practice location 6

2550 Stover St Bldg C
Fort Collins, CO 80525-4641
Phone (970) 942-3031

Other practice location 7

1954 E Richards St Ste 10
Douglas, WY 82633-3089
Phone (307) 717-0002

Other practice location 8

3925 Casper Mountain Rd
Casper, WY 82601-6036
Phone (307) 222-3042

Other practice location 9

975 Gilchrist St
Wheatland, WY 82201-2931
Phone (307) 322-8122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231206000233 WY Practitioner - Clinical Social Worker 7315396157 Reassigns benefits to 1 organization
I20240222000899 CO Practitioner - Clinical Social Worker 7315396157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Counseling and ConsultingGroup PAC ID 8921311911, 14 clinicians

Practice addresses (Care Compare)

2550 Stover St
BLDG C
Fort Collins, CO 80525-4641
Phone (970) 942-3031

4025 Rawlins St
Cheyenne, WY 82001-1900
Phone (307) 426-4797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Counseling & Consulting Clinical CurrentSince Oct 29, 2023 Accepting new patients
Specialty Counseling & Consulting CurrentSince Jan 30, 2014 Accepting new patients
Gem City Mental Wellness LLC Clinical Current Accepting new patients
Specialty Counseling & Consulting Clinical PastSince Oct 29, 2023 Accepting new patients

Locations

2550 Stover St
Bldg C
Fort Collins, CO 80525
Phone (307) 426-4798

3211 W 20th St
Ste C
Greeley, CO 80634
Phone (970) 227-9352

3257 W 20th St
Ste 200
Greeley, CO 80634
Phone (970) 481-1131

1413 W 29th St
Loveland, CO 80538
Phone (970) 744-6342

3925 Casper Mountain Rd
Casper, WY 82601
Phone (307) 222-3042

200 Dell Range Blvd
Cheyenne, WY 82009
Phone (307) 316-3186

4025 Rawlins St
Cheyenne, WY 82001
Phone (307) 426-4797

1954 E Richards St
Ste 10
Douglas, WY 82633
Phone (307) 717-0002

427 S 21st St
Laramie, WY 82070
Phone (307) 459-3670

975 Gilchrist St
Wheatland, WY 82201
Phone (307) 222-3042

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1639843345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 RAWLINS ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011900",
            "telephone_number": "307-426-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S 21ST ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704323",
            "telephone_number": "307-459-3670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Dell Range Blvd",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820094705",
            "country_code": "US",
            "telephone_number": "307-426-4797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1413 W 29th St",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805382403",
            "country_code": "US",
            "telephone_number": "970-942-3037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4006 Cleveland Ave",
            "address_2": "Bldg B, Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "CO",
            "postal_code": "805495056",
            "country_code": "US",
            "telephone_number": "970-672-4667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4025 Rawlins St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820011900",
            "country_code": "US",
            "telephone_number": "307-426-4797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3257 W 20th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806346550",
            "country_code": "US",
            "telephone_number": "970-672-4667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Stover St Bldg C",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805254641",
            "country_code": "US",
            "telephone_number": "970-942-3031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1954 E Richards St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "WY",
            "postal_code": "826333089",
            "country_code": "US",
            "telephone_number": "307-717-0002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3925 Casper Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826016036",
            "country_code": "US",
            "telephone_number": "307-222-3042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 Gilchrist St",
            "address_purpose": "LOCATION",
            "city": "Wheatland",
            "state": "WY",
            "postal_code": "822012931",
            "country_code": "US",
            "telephone_number": "307-322-8122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TRACEY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-01-30",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.