TRACIE A NICOLL PHD
NPI 1194331215
Clinic/Center - Adult Mental Health in Colorado Springs, CO
About Tracie A Nicoll Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACIE A NICOLL PHD (NPI 1194331215) is a healthcare organization registered as an adult mental health in Colorado Springs, Colorado and active in the NPI registry since September 2020. The organization lists Tracie A Nicoll, Clinical Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracie A Nicoll Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tracie A Nicoll Phd, which bills Medicare for the services this clinician delivers.
Clinician (1)
Colorado Springs, CO 80906
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tracie A Nicoll Phd's NPI number?
The NPI number for Tracie A Nicoll Phd is 1194331215. It was assigned to this organization in the NPPES registry on September 23, 2020.
Where is Tracie A Nicoll Phd located?
Tracie A Nicoll Phd is located at 2630 Tenderfoot Hill St Ste 114, Colorado Springs, CO 80906. The listed phone number is (719) 247-3561.
What is Tracie A Nicoll Phd's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Tracie A Nicoll Phd enrolled in Medicare?
Yes. Tracie A Nicoll Phd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tracie A Nicoll Phd?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Tracie A Nicoll Phd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tracie A Nicoll Phd was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tracie A Nicoll Phd · NPI 1194331215
Adult Mental Health organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since September 23, 2020.
## Identity
- **NPI:** 1194331215 (Entity type: Organization)
- **Enumerated:** September 23, 2020
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Tracie Nicoll, CLINICAL PSYCHOLOGIST
## Practice location
- **Address:** 2630 TENDERFOOT HILL ST STE 114, Colorado Springs, CO 80906-7373
- **Phone:** (719) 247-3561 · **Fax:** (719) 362-4439
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194331215) · Data from the CMS NPPES public registry.