Individual provider Active NPI

Linda Mazuranic, L.P.C.

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1841615077
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0011597 Issued in CO
Practice address
938 Racine St
Aurora, CO 80011-6322
Phone
(573) 228-8665
NPI assigned
Feb 25, 2014
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2004014251 MO
Professional Counselor 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 3

IdentifierTypeStateIssuer
74185039MedicaidCO
LPC0011597OtherCOLICENSED PROFESSIONAL COUNSELOR
2004014251OtherMOLICENSED PROFESSIONAL COUNSELOR

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
I20240305002018 CO Practitioner - Mental Health Counselor 3678918208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004014251MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Mazuranic, LLC Professional CurrentSince Feb 13, 2024 Accepting new patients

Locations

14221 E 4th Ave
Ste 225
Aurora, CO 80011
Phone (303) 506-0074

Organizations & group practices 1

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": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1841615077",
    "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": {
        "last_name": "MAZURANIC",
        "first_name": "LINDA",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2023-06-23",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2004014251",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0011597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74185039",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC0011597",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "2004014251",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.