Individual provider Active NPI

Mary Rose Maclean, LPC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1093896847
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1015 Issued in CO
Practice address
5540 Tech Center Dr Ste 203
Colorado Springs, CO 80919-2330
Phone
(719) 548-0100
Fax
(719) 548-0616
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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 1015 CO Primary

Addresses

Primary practice location

5540 Tech Center Dr Ste 203
Colorado Springs, CO 80919-2330

Mailing address

4760 Flintridge Dr Ste 250
Colorado Springs, CO 80918-4264
Phone (719) 260-6262

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1015COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Springs Counseling Center Mental Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1093896847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 FLINTRIDGE DR STE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184264",
            "telephone_number": "719-260-6262",
            "fax_number": "719-260-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 TECH CENTER DR STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192330",
            "telephone_number": "719-548-0100",
            "fax_number": "719-548-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEAN",
        "first_name": "MARY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "1015",
            "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 Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.