Active NPI
Mary Ann Van Buskirk, M.A., M,DIV., LPC
- Professional Counselor
- Denver, CO
National Provider Identifier
1871609438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CO LPC 527
- Practice address
- 4155 E Jewell Ave
Suite #1100
Denver, CO 80222-4504 - Phone
- (303) 692-8006
- Fax
- (303) 692-8338
- NPI assigned
- Aug 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CO LPC 527 | CO | Primary |
| Marriage & Family Therapist | 106H00000X | SD LMFT 1076 | CO |
Addresses
Primary practice location
4155 E Jewell Ave
Suite #1100
Denver, CO 80222-4504
Mailing address
4155 E Jewell Ave
Suite #1100
Denver, CO 80222-4504
Phone (303) 692-8006
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO LPC 527 | CO | MD | Professional Counselor |
| SD LMFT 1076 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1871609438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4155 E JEWELL AVE",
"address_2": "SUITE #1100",
"city": "DENVER",
"state": "CO",
"postal_code": "802224504",
"telephone_number": "303-692-8006",
"fax_number": "303-692-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 E JEWELL AVE",
"address_2": "SUITE #1100",
"city": "DENVER",
"state": "CO",
"postal_code": "802224504",
"telephone_number": "303-692-8006",
"fax_number": "303-692-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN BUSKIRK",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.A., M,DIV., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "CO LPC 527",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "SD LMFT 1076",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.