Individual provider Active NPI

Tracy Ann Treloar, L.A.C.

  • Addiction (Substance Use Disorder) Counselor
  • Lakewood, CO
National Provider Identifier
1730589235
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD.0000473 Issued in CO
Practice address
3225 S Wadsworth Blvd
Unit T
Lakewood, CO 80227-5019
Phone
(303) 231-0090
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000473 CO Primary

Addresses

Primary practice location

3225 S Wadsworth Blvd
Unit T
Lakewood, CO 80227-5019

Mailing address

3225 S Wadsworth Blvd
Unit T
Lakewood, CO 80227-5019
Phone (303) 231-0090

Other identifiers 1

IdentifierTypeStateIssuer
624855MedicaidCO

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
ACD.0000473COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1730589235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 S WADSWORTH BLVD",
            "address_2": "UNIT T",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275019",
            "telephone_number": "303-231-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 S WADSWORTH BLVD",
            "address_2": "UNIT T",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275019",
            "telephone_number": "303-231-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRELOAR",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "L.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624855",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.