Active NPI
Maryann Martha Magley-Herman, LPC, LAC, MAC
- Counseling Psychologist
- Thornton, CO
National Provider Identifier
1821635202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 0011769
- Practice address
- 12942 Clarkson Cir
Thornton, CO 80241-3979 - Phone
- (720) 323-8128
- NPI assigned
- Dec 5, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0011769 | CO | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 260 | CO | |
| Counseling Psychologist | 103TC1900X | 0011769 | CO | Primary |
Addresses
Primary practice location
12942 Clarkson Cir
Thornton, CO 80241-3979
Mailing address
12942 Clarkson Cir
Thornton, CO 80241-3979
Phone (720) 323-8128
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 |
|---|---|---|---|
| 0011769 | CO | MD | Mental Health Counselor |
| 260 | CO | MD | Addiction (Substance Use Disorder) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1821635202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12942 CLARKSON CIR",
"city": "THORNTON",
"state": "CO",
"postal_code": "802413979",
"telephone_number": "720-323-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12942 CLARKSON CIR",
"city": "THORNTON",
"state": "CO",
"postal_code": "802413979",
"telephone_number": "720-323-8128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGLEY-HERMAN",
"first_name": "MARYANN",
"middle_name": "MARTHA",
"credential": "LPC, LAC, MAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0011769",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "260",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "0011769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.