Mary Ann Forreider, MA, LAC, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT.0001573 Issued in CO

Practice address

420 21St Ave Ste 113
Longmont, CO 80501-1441

Phone

(303) 834-9369

Fax

(303) 834-9396

NPI assigned

May 29, 2013

Last updated

Dec 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mary A Ursich Former name

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

Specialty

Marriage and Family Therapist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Refresh Counseling and Support Services IncGroup PAC ID 5193257251, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Refresh Counseling and Support Services Inc.

  • Mental Health Counselor
  • Longmont, CO
  • NPI 1831816743

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Community Solutions, Inc

  • Community/Behavioral Health Agency
  • Longmont, CO
  • NPI 1841662889

  Addiction (Substance Use Disorder)

  NPD
• Refresh Counseling and Support Services Inc.

  • Marriage & Family Therapist
  • Longmont, CO
  • NPI 1447039284

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1023455268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 HOVER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017181",
            "telephone_number": "303-834-9369",
            "fax_number": "303-834-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 21ST AVE STE 113",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011441",
            "telephone_number": "303-834-9369",
            "fax_number": "303-834-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREIDER",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "MA, LAC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000339",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0001573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "URSICH",
            "middle_name": "A",
            "credential": "PHD, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Foothills Behavioral and Education Consultants
• Foothills Behavioral and Education Consultants
• William Ford
• Marla Kay Foreman, RMT
• Kathleen Forness, DPT
• Larry L Forrest, OD
• Michele Forsberg, P.T.
• Lauren Forsythe, MA, NCC
• Tamara Forsythe, D.C.
• Forward Health LLC

• Marriage & Family Therapist in Longmont, CO
• Providers in Longmont, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.