Mary Anderson LCSW PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9892353189 Issued in CO

Legal business name

MARY ANDERSON LCSW PC

Practice address

104 S Cascade Ave
Suite203
Colorado Springs, CO 80903-2250

Phone

(719) 475-0292

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Mary S. Anderson, LCSWNPI 1194815753

Title

President

Phone

(719) 475-0292

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary S Anderson, LCSW

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1194815753
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508906553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S CASCADE AVE",
            "address_2": "SUITE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032250",
            "telephone_number": "719-475-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S CASCADE AVE",
            "address_2": "SUITE203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032250",
            "telephone_number": "719-475-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANDERSON LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-475-0292",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "9892353189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Diane Martz, MA LPC
• Erin Elizabeth Maruzzella, MA CCC-SLP
• Jared Marx
• Lacy J Marx, MA LPC
• McKenna Marx, RN
• Mary Delaney Psy D Inc
• Mary Maclean, Ma, LPC, P.C.
• Alexei Masanko
• Margaret Grace Masaracchia
• Alexis Mascarenas, DDS

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.