Mary E Colizza, MAC, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2013041573 Issued in MO

Practice address

1000 Executive Parkway Dr Ste 106
Saint Louis, MO 63141-6369

Phone

(314) 469-5522

Fax

(314) 469-5504

NPI assigned

Mar 23, 2016

Last updated

Jan 6, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 9, 2025 through Dec 9, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crossroads Christian Counseling

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1477728400
  NPD (past)

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1245692854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE PARKWAY DR STE 106",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416369",
            "telephone_number": "314-469-5522",
            "fax_number": "314-469-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE PARKWAY DR STE 106",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416369",
            "telephone_number": "314-469-5522",
            "fax_number": "314-469-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLIZZA",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MAC, PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013041573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Marvette Coleman, REGISTER NURSE
• Sharonda A Coleman
• Colette S. Weber, D.P.M., LLC
• Monette Castillo Coletti, MD
• Julie Pisarkiewicz Colicchio, ANP
• Emily Margaret Collaer, MD
• Matthew David Collard, D.O.
• Angela Colletta, MHS, CCC-SLP
• Maria Colletta, MSN, AGACNP-BC
• Alissa Collette, RN

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.