Active NPI
Mary Elizabeth Cronin, LPC
- Professional Counselor
- Broomfield, CO
National Provider Identifier
1811481641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0060003
- Practice address
- 2095 W 6TH Ave Ste 205
Broomfield, CO 80020-1880 - Phone
- (303) 946-7681
- NPI assigned
- Jun 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0060003 | CO | Primary |
Addresses
Primary practice location
2095 W 6TH Ave Ste 205
Broomfield, CO 80020-1880
Mailing address
10350 Dover St Apt J31
Westminster, CO 80021-5508
Phone (303) 946-7681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0060003 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1811481641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 DOVER ST APT J31",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800215508",
"telephone_number": "303-946-7681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 W 6TH AVE STE 205",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201880",
"telephone_number": "303-946-7681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONIN",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-15",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0060003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.