Tracilyn Corindette Blackwell, BA, MS, LPC
NPI 1740934173ActiveIndividual· Counselor, Professional· Centennial, CO
Counselor, Professional (BA, MS, LPC) with Original Path Counseling LLC, practicing in Centennial, Colorado. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1740934173 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BA, MS, LPC |
| Sole proprietor | No |
| NPI issued | Feb 4, 2022 |
| Last updated in NPPES | Sep 25, 2023 |
| Certified by provider | Sep 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC.0017931 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (CO) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Original Path Counseling LLCCentennial, CO · 2 clinicians
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