Individual provider Active NPI

Mary Ranae Stanton, M.S. EDU., L.P.C.

  • Mental Health Counselor
  • Windsor, CO
National Provider Identifier
1477640035
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2057 Issued in CO
Practice address
481 Pelican CV
Windsor, CO 80550-6125
Phone
(970) 686-5956
Fax
(970) 686-5944
NPI assigned
Oct 6, 2006
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 2057 CO Primary

Addresses

Primary practice location

481 Pelican CV
Windsor, CO 80550-6125

Mailing address

481 Pelican CV
Windsor, CO 80550-6125
Phone (970) 686-5956

Other identifiers 1

IdentifierTypeStateIssuer
11635324OtherCAQH

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
I20250217002893 CO Practitioner - Mental Health Counselor 1254576903 Practice locations: Windsor, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2057COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1477640035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 PELICAN CV",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805506125",
            "telephone_number": "970-686-5956",
            "fax_number": "970-686-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 PELICAN CV",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805506125",
            "telephone_number": "970-686-5956",
            "fax_number": "970-686-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "MARY",
        "middle_name": "RANAE",
        "name_prefix": "Ms.",
        "credential": "M.S. EDU., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "2057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11635324",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

Verify at the official NPI Registry.