Active NPI
Mary L Muller, LPC
- Mental Health Counselor
- Lamar, CO
National Provider Identifier
1952415135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0005107
- Practice address
- 201 Kendall Dr
Lamar, CO 81052-3939 - Phone
- (719) 336-0261
- Fax
- (719) 336-0265
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 408 | NE | |
| Mental Health Counselor | 101YM0800X | 2125 | KS | |
| Mental Health Counselor | 101YM0800X | 0005107 | CO | Primary |
Addresses
Primary practice location
201 Kendall Dr
Lamar, CO 81052-3939
Mailing address
201 Kendall Dr
Lamar, CO 81052-3939
Phone (719) 336-0261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47075276426 | Medicaid | NE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Kendall Dr
Lamar, CO 81052-3939
Phone (719) 336-0261
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0005107 | CO | MD | Mental Health Counselor |
| 408 | NE | MD | Pediatrics Physician |
| 2125 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Plains Community Health Center, Incorporated | Current | Accepting new patients | |
| High Plains Community Health Center Incorporated | Current | Accepting new patients |
Locations
201 Kendall Dr
Lamar, CO 81052
Phone (719) 336-0261
Interoperability endpoints
- mary.muller@hpchc.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Lamar, CO
- NPI 1700889151
-
- Federally Qualified Health Center (FQHC)
- Holly, CO
- NPI 1932596350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1952415135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 KENDALL DR",
"city": "LAMAR",
"state": "CO",
"postal_code": "810523939",
"telephone_number": "719-336-0261",
"fax_number": "719-336-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 KENDALL DR",
"city": "LAMAR",
"state": "CO",
"postal_code": "810523939",
"telephone_number": "719-336-0261",
"fax_number": "719-336-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLER",
"first_name": "MARY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "408",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "2125",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0005107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47075276426",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lamar, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.