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TRACEY CLARK LPC
NPI 1215479415
Counselor - Professional in Colorado Springs, CO

Active since November 06, 2016PECOS Enrolled
8580 SCARBOROUGH DR STE 125, COLORADO SPRINGS, CO 80920(719) 622-6522 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2025, Nov 6, 2016 (2 updates tracked since 2016).

About Tracey Clark Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY CLARK LPC (NPI 1215479415) is an individual professional provider in Colorado Springs, Colorado, licensed in Colorado (LPC.0016209) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215479415
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRACEY CLARKCredential: LPC
Location Address8580 SCARBOROUGH DR STE 125Colorado Springs, CO 80920-7584
Mailing Address1840 Woodmoor Dr Ste 102Monument, CO 80132-9083 · (719) 622-6522
Phone(719) 622-6522
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 6, 2016
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1215479415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0016209
8580 SCARBOROUGH DR STE 125, Colorado Springs, CO 80920
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11259 Lake Plaza Dr Ste 200Colorado Springs, CO 80906-3516 · Phone (719) 622-6522
Location 21840 Woodmoor Dr Ste 102Monument, CO 80132-9083 · Phone (719) 622-6522
Location 31295 Kelly Johnson Blvd Ste 100Colorado Springs, CO 80920-3978 · Phone (719) 622-6522

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracey Clark Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193174571
PECOS Enrollment IDI20231211001558
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tracey Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pueblo Community Health Center Inc
48 mi
Federally Qualified Health Center (FQHC)
900 W ORMAN AVE RM MT118
Pueblo, CO 81004
  • Reassigned Medicare billing, Colorado enrollment
  • 137 clinicians in this Medicare group
NPI 1316466816 (719) 543-8711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUBREY RABON PA-C
Physician Assistant
8580 SCARBOROUGH DR STE 125
COLORADO SPRINGS, CO 80920
El Paso County (719) 622-6522

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 Tracey Clark's NPI number?

The NPI number for Tracey Clark is 1215479415. It was assigned to this individual provider in the NPPES registry on November 6, 2016.

Where is Tracey Clark located?

Tracey Clark practices at 8580 Scarborough Dr Ste 125, Colorado Springs, CO 80920. The listed phone number is (719) 622-6522.

What is Tracey Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tracey Clark enrolled in Medicare?

Yes. Tracey Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracey Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Clark reassigns Medicare benefits to Pueblo Community Health Center Inc (Pueblo, CO). The 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 Tracey Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracey Clark accept?

Health plans from Select Health list Tracey Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracey Clark was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.