Active NPI
Marie-Anne Abenroth, LPC; LAC; NCC
- Mental Health Counselor
- Canistota, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0017016
- Practice address
- 741 N 5TH Ave
Canistota, SD 57012-2049 - Phone
- (605) 299-1771
- Fax
- (605) 299-1771
- NPI assigned
- Apr 24, 2019
- Last updated
- Sep 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001850 | CO | |
| Mental Health Counselor | 101YM0800X | LPC20944 | SD | |
| Mental Health Counselor | 101YM0800X | LPC.0017016 | CO | Primary |
Addresses
Primary practice location
741 N 5TH Ave
Canistota, SD 57012-2049
Mailing address
741 N 5TH Ave
Canistota, SD 57012-2049
Phone (719) 749-6211
Other practice location 1
355 N Ellicott Hwy
Calhan, CO 80808-8877
Phone (719) 749-6211
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Calhan, CO 80808
Phone (719) 749-6211
355 N Ellicott Hwy
A101
Calhan, CO 80808-8877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACD.0001850 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPC.0017016 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Footprints of Change Counseling PLLC | Professional | Current | Accepting new patients |
| Family Resource Network | Past | Accepting new patients | |
| Free Yourself LLC | Mental Health | Past | Accepting new patients |
Locations
355 N Ellicott Hwy
Calhan, CO 80808
Phone (719) 749-6211
355 N Ellicott Hwy
#A101
Calhan, CO 80808
Phone (719) 749-6211
355 N Ellicott Hwy
Ste A101
Calhan, CO 80808
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Colorado Springs, CO
- NPI 1548430812
-
- Mental Health Counselor
- Denver, CO
- NPI 1831674449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1225692247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 N 5TH AVE",
"city": "CANISTOTA",
"state": "SD",
"postal_code": "570122049",
"telephone_number": "719-749-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 N 5TH AVE",
"city": "CANISTOTA",
"state": "SD",
"postal_code": "570122049",
"telephone_number": "605-299-1771",
"fax_number": "605-299-1771"
}
],
"practiceLocations": [
{
"address_1": "355 N Ellicott Hwy",
"address_purpose": "LOCATION",
"city": "Calhan",
"state": "CO",
"postal_code": "808088877",
"country_code": "US",
"telephone_number": "719-749-6211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABENROTH",
"first_name": "MARIE-ANNE",
"credential": "LPC; LAC; NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0001850",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "LPC20944",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0017016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canistota, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.