Organization Active NPI

Tracy Rosen Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
National Provider Identifier
1932834819
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TRACY ROSEN THERAPY
Practice address
9235 N Union Blvd Ste 150-344
Colorado Springs, CO 80920-7831
Phone
(774) 260-5685
NPI assigned
Jul 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Tracy Lynn Rosen, LMHCNPI 1528493590
Title
Owner
Phone
(774) 260-5685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9235 N Union Blvd Ste 150-344
Colorado Springs, CO 80920-7831

Mailing address

PO Box 294
Middleboro, MA 02346-0294

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tracyrosentherapy@pm.me Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240712001281 MA Part B Supplier - Clinic/Group Practice 1355886409 Receives reassigned benefits from 1 practitioner
Practice locations: Stoughton, MA

National Provider Directory

National Provider Directory

Locations

3237 W Carefree Cir
Ste 5
Colorado Springs, CO 80917
Phone (774) 260-5685

9235 N Union Blvd
Ste 150344
Colorado Springs, CO 80920
Phone (774) 260-5685

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1932834819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023460294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 N UNION BLVD STE 150-344",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207831",
            "telephone_number": "774-260-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY ROSEN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-23",
        "last_updated": "2024-06-21",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-260-5685",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracyrosentherapy@pm.me",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "6 Cabot Pl Ste 6",
            "city": "Stoughton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020724625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.