Individual provider Active NPI

Mary Ann Van Buskirk, M.A., M,DIV., LPC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1871609438
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CO LPC 527 Issued in CO
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

Updated by the provider on Sep 11, 2025

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 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

LicenseStateTypeSpecialty
CO LPC 527COMDProfessional Counselor
SD LMFT 1076COMDMarriage & 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.

Verify at the official NPI Registry.