Individual provider Active NPI

Marie-Anne Abenroth, LPC; LAC; NCC

  • Mental Health Counselor
  • Canistota, SD
National Provider Identifier
1225692247
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0017016 Issued in CO
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014002067 CO Practitioner - Mental Health Counselor 6305378548 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
ACD.0001850COMDAddiction (Substance Use Disorder) Counselor
LPC.0017016COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Footprints of Change Counseling PLLC Professional CurrentSince Sep 30, 2024 Accepting new patients
Family Resource Network Past Accepting new patients
Free Yourself LLC Mental Health PastSince Jun 30, 2024 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.

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

Verify at the official NPI Registry.