Individual provider Active NPI

Mariah Ann McConnell, MA, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1003302738
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0016772 Issued in CO
Practice address
4775 Barnes Rd Ste L
Colorado Springs, CO 80917-1650
Phone
(719) 644-6131
NPI assigned
Jul 5, 2018
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0016772 CO Primary

Addresses

Primary practice location

4775 Barnes Rd Ste L
Colorado Springs, CO 80917-1650

Mailing address

2316 N Wahsatch Ave
PMB 373
Colorado Springs, CO 80907
Phone (866) 644-6131

Other names 1

  • Mariah Ann Edwards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328002049 CO Practitioner - Mental Health Counselor 0648793885 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0016772COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Barber Family Counseling Mental Health CurrentSince Mar 26, 2025 Accepting new patients

Locations

4775 Barnes Rd
Ste L
Colorado Springs, CO 80917
Phone (719) 644-6131

2316 N Wahsatch Ave
Colorado Springs, CO 80907
Phone (706) 473-3454

Networks

  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • NM HMO C-SNP
  • CO HMO
  • CO HMO D-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1003302738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 N WAHSATCH AVE",
            "address_2": "PMB 373",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "866-644-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 BARNES RD STE L",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171650",
            "telephone_number": "719-644-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "MARIAH",
        "middle_name": "ANN",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "EDWARDS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.