Organization Active NPI

Linda Mazuranic, LLC

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1588028211
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0011597 Issued in CO
Legal business name
LINDA MAZURANIC, LLC
Practice address
938 Racine St
Aurora, CO 80011-6322
Phone
(573) 228-8665
NPI assigned
Apr 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Ms. Linda Mazuranic, L.P.C.NPI 1841615077
Title
Licensed Professional Counselor
Phone
(573) 228-8665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC0011597 CO Primary

Addresses

Primary practice location

938 Racine St
Aurora, CO 80011-6322

Mailing address

938 Racine St
Aurora, CO 80011-6322
Phone (573) 228-8665

Other identifiers 1

IdentifierTypeStateIssuer
47800259MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240305001800 CO Part B Supplier - Clinic/Group Practice 2769827393 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

14221 E 4th Ave
Aurora, CO 80011

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1588028211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 RACINE ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116322",
            "telephone_number": "573-228-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 RACINE ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116322",
            "telephone_number": "573-228-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA MAZURANIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "MAZURANIC",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "573-228-8665",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0011597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47800259",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.