Marla M Madrid, MSW, LCSW, LAC, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT0001999 Issued in CO

Practice address

190 S 1St St
Bennett, CO 80102-7860

Phone

(303) 644-4240

Fax

(303) 644-4250

NPI assigned

Mar 15, 2013

Last updated

Jan 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Comanche Crossing Counseling, LLC

  • Mental Health Counselor
  • Bennett, CO
  • NPI 1710374640
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674345600000",
    "number": "1992046908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S 1ST ST",
            "city": "BENNETT",
            "state": "CO",
            "postal_code": "801027860",
            "telephone_number": "303-644-4240",
            "fax_number": "303-644-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S 1ST ST",
            "city": "BENNETT",
            "state": "CO",
            "postal_code": "801027860",
            "telephone_number": "303-644-4240",
            "fax_number": "303-644-4250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56554 Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Strasburg",
            "state": "CO",
            "postal_code": "801360843",
            "country_code": "US",
            "telephone_number": "720-937-2332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRID",
        "first_name": "MARLA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, LAC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-15",
        "last_updated": "2023-01-22",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD0000719",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW00001915",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT0001999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marla@atlascounseling.us",
            "affiliation": "N",
            "endpointDescription": "company email",
            "address_1": "190 S 1st St",
            "city": "Bennett",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801027860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mile High Phlebotomy
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• Ruhullah Muhtat
• Open and Affordable Dental Bennett PLLC
• Nicole Jean Prochazka, RN

• Marriage & Family Therapist in Bennett, CO
• Providers in Bennett, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.