Individual provider Active NPI

Mary Elizabeth Avant, MA, LPCC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1063321206
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0025347 Issued in CO
Practice address
1980 Dominion Way Ste 202
Colorado Springs, CO 80918-8473
Phone
(719) 419-3939
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.0025347 CO Primary

Addresses

Primary practice location

1980 Dominion Way Ste 202
Colorado Springs, CO 80918-8473

Mailing address

5628 Spoked Wheel Dr
Colorado Springs, CO 80923-8726
Phone (830) 499-3622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1063321206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5628 SPOKED WHEEL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809238726",
            "telephone_number": "830-499-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 DOMINION WAY STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188473",
            "telephone_number": "719-419-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVANT",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0025347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.