Individual provider Active NPI

Mary Twinem, PSY.D., M.A.

  • Professional Counselor
  • Pueblo, CO
National Provider Identifier
1255345591
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
723 Issued in CO
Practice address
924 Indiana Ave
Pueblo, CO 81004-3747
Phone
(719) 564-9039
Fax
(719) 561-8752
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 377 CO
Professional Counselor 101YP2500X 723 CO Primary

Addresses

Primary practice location

924 Indiana Ave
Pueblo, CO 81004-3747

Mailing address

924 Indiana Ave
Pueblo, CO 81004-3747
Phone (719) 564-9039

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
377COMDPhysical Therapist
723COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates for Psychotherapy and Education, PC PastSince Jan 1, 1993 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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1255345591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 INDIANA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043747",
            "telephone_number": "719-564-9039",
            "fax_number": "719-561-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 INDIANA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043747",
            "telephone_number": "719-564-9039",
            "fax_number": "719-561-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWINEM",
        "first_name": "MARY",
        "credential": "PSY.D., M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "377",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.