Healthcare Provider Details

I. General information

NPI: 1871309161
Provider Name (Legal Business Name): TRACY KORPELA LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10116 JIBBOOM ST STE 8
TRUCKEE CA
96161-0101
US

IV. Provider business mailing address

PO BOX 644
TAHOE CITY CA
96145-0644
US

V. Phone/Fax

Practice location:
  • Phone: 530-523-3999
  • Fax:
Mailing address:
  • Phone: 530-523-3999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: