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TRACY R DERICKSON
NPI 1871389114
Community/Behavioral Health in Timnath, CO

Active since April 15, 2025
1272 WOLFHOUND ST, TIMNATH, CO 80547(970) 231-0341 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy R Derickson NPPES

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

TRACY R DERICKSON (NPI 1871389114) is an individual community/behavioral health provider in Timnath, Colorado and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1871389114
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameTRACY R DERICKSON
Location Address1272 WOLFHOUND STTimnath, CO 80547-4488
Mailing Address1055 South StWheatland, WY 82201-2949 · (307) 331-7899
Phone(970) 231-0341
Sole ProprietorYes
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1871389114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1272 WOLFHOUND ST, Timnath, CO 80547
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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 Tracy Derickson's NPI number?

The NPI number for Tracy Derickson is 1871389114. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Tracy Derickson located?

Tracy Derickson practices at 1272 Wolfhound St, Timnath, CO 80547. The listed phone number is (970) 231-0341.

What is Tracy Derickson's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Tracy Derickson was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.