Individual provider Active NPI

Mary Ellen Leeds, LCSW,MSSW

  • Mental Health Counselor
  • Aurora, CO
National Provider Identifier
1699470377
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00991769 Issued in CO
Practice address
14301 E Hampden Ave
Aurora, CO 80014-3902
Phone
(303) 617-2300
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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 00991769 CO Primary

Addresses

Primary practice location

14301 E Hampden Ave
Aurora, CO 80014-3902

Mailing address

1290 Chambers Rd
Aurora, CO 80011-7117
Phone (303) 617-2300

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
I20230422000240 CO Practitioner - Clinical Social Worker 0345605564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

14301 E Hampden Ave
Aurora, CO 80014-3902
Phone (303) 617-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00991769COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Comprehensive Community Mental Health Center, Inc Current Accepting new patients
Aurora Comprehensive Community Mental Health Center, Inc CurrentSince Apr 11, 2023 Accepting new patients
Aurora Comprehensive Community Mental Health Center, Inc CurrentSince Apr 11, 2023 Accepting new patients

Locations

14301 E Hampden Ave
Aurora, CO 80014
Phone (303) 617-2600

1290 Chambers Rd
Aurora, CO 80011
Phone (303) 617-2715

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1699470377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117117",
            "telephone_number": "303-617-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 E HAMPDEN AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143902",
            "telephone_number": "303-617-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDS",
        "first_name": "MARY ELLEN",
        "credential": "LCSW,MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "00991769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.