Mari Anne Gottlieb, MA-CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PSLP.0000217 Issued in CO

Practice address

1136 E Stuart St Ste 3120
Fort Collins, CO 80525-1196

Phone

(970) 682-3743

NPI assigned

May 24, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Boulder Cognitive and Linguistic Center Inc

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Wheat Ridge, CO
  • NPI 1205215662

  Speech-Language Pathologist

  Medicare reassignment NPD
• Hona Medical Group PA

  • Speech-Language Pathologist
  • Miami, FL
  • NPI 1487490553

  CO

  Medicare reassignment NPD
• Boulder Cognitive and Linguistic Center Inc

  • Multi-Specialty Clinic/Center
  • Boulder, CO
  • NPI 1699244566
  NPD

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1558852525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HAWTHORN AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042140",
            "telephone_number": "269-369-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 3120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251196",
            "telephone_number": "970-682-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "MARI",
        "middle_name": "ANNE",
        "credential": "MA-CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP.0000217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marci Gosbee, RN
• Jodie Margeleine Goter, LPC
• Carol Fox Gotham, NP
• Joseph M Gottfried, M.D.
• Jana Lynn Gottino, LMP,RN
• Samantha Ann Goudy, LCSW
• Emma Goulart, MSOM
• Patrick Thomas Gould, PT, DPT
• Genevieve Goulding
• Debra Govan, PHD

• Speech-Language Pathologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.