Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Tracilyn Corindette Blackwell, BA, MS, LPC

Individual provider Professional Counselor · NPI 1740934173

MS. Tracilyn Corindette Blackwell, BA, MS, LPC is a Mental Health Counselor in Centennial, Colorado. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
11
Licensed in
CO
In the registry since
2022
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469
Phone: (720) 735-7444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC.0017931 (CO)

Record details

NPI number1740934173
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA , MS , LPC
Sole proprietorNo
NPI enumeratedFebruary 4, 2022
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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