Mary Katherine Connell
Individual provider Active NPI Mental Health Counselor · Leadville, CO
NPI 1861267775 · NPPES record last updated Nov 20, 2023
Key facts
- NPI
- 1861267775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 0021453 (CO)
- Practice address
- 1713 Mount Lincoln Dr W
Leadville, CO 80461-3708 - Phone
- (970) 564-7439
- NPI assigned
- Nov 20, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0021453 | CO | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0021453 | CO | Yes |
Addresses
Primary practice location
1713 Mount Lincoln Dr W
Leadville, CO 80461-3708
Mailing address
1713 Mount Lincoln Dr W
Leadville, CO 80461-3708
Phone (970) 564-7439
Other providers in Leadville, CO
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- Heidi Colley
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- Colorado Autism Consultants, LLC
- Heather Damon
- Amber Duranczyk
- Kelli Lyn Emmans-Ort
- Darrell Lee Everding
- Joette S Eyser
All providers in Leadville, CO · Mental Health Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.