MS. TRACILYN CORINDETTE BLACKWELL BA MS LPC NPI 1740934173

NPI Information

  • NPI: 1740934173
  • Provider Name: MS. TRACILYN CORINDETTE BLACKWELL, BA, MS, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6551 S REVERE PKWY STE 160
    CENTENNIAL, CO
    ZIP 80111
  • Phone: (720) 735-7444

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NPI Details

MS. Tracilyn Corindette Blackwell, BA, MS, LPC is a professional counselor in Centennial, CO with 10 years of experience. MS. Tracilyn Corindette Blackwell, BA, MS, LPC NPI is 1740934173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6551 S REVERE PKWY STE 160
CENTENNIAL, CO
ZIP 80111-469
Phone: (720) 735-7444

The NPI 1740934173 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/4/2022 and was last updated on 9/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLPC.0017931COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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