Individual provider Active NPI

Cecile Marquez, MA

  • Mental Health Counselor
  • Fort Morgan, CO
National Provider Identifier
1366847774
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0012529 Issued in CO
Practice address
324 E Railroad Ave Ste 400
Fort Morgan, CO 80701-3101
Phone
(970) 458-5124
NPI assigned
Oct 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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 LPC.0012529 CO Primary

Addresses

Primary practice location

324 E Railroad Ave Ste 400
Fort Morgan, CO 80701-3101

Mailing address

324 E Railroad Ave Ste 400
Fort Morgan, CO 80701-3101
Phone (970) 458-5124

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
I20241106001722 CO Practitioner - Mental Health Counselor 5193259695 Practice locations: Fort Morgan, CO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

324 E Railroad Ave
Suite 500
Fort Morgan, CO 80701-3144
Phone (970) 458-5124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0012529COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1366847774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E RAILROAD AVE STE 400",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013101",
            "telephone_number": "970-458-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E RAILROAD AVE STE 400",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013101",
            "telephone_number": "970-458-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "CECILE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0012529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

Verify at the official NPI Registry.