MARY JENNIFER LEWIS (NPI# 1053766469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053766469 |
| Entity Type | Individual |
| Full Name | MARY JENNIFER LEWIS |
| Credential | M.A. |
| Practice Address |
1473 Moraine Valley Dr Severance CO 80550 |
| Mailing Address |
1644 S College Ave Fort Collins CO 80525-1007 |
| Practice Telephone | 5037052338 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831604909 | Mary Elizabeth Lewis | Specialist | 120 Fairforest Rd, Columbia, SC 29212-2308 | 2017-12-11 |
| 1285150789 | Mary Ivy Lewis | Physical Therapist | 139 Sowers Dr, Hackettstown, NJ 07840-7626 | 2017-08-16 |
| 1063878882 | Mary Antoinette Lewis | Occupational Therapist | 3029 Winterberry Dr, Roanoke, VA 24018-2865 | 2016-01-08 |
| 1821349374 | Mary Lewis | Dental Hygienist | 3160 Montana Dr, Prescott, AZ 86301-4627 | 2012-09-24 |
| 1134482060 | Mary M Lewis | Registered Nurse | 406 W Fertitta Blvd, Leesville, LA 71446-4649 | 2012-06-15 |
| 1871883843 | Mary Michael Lewis | Speech-Language Pathologist | 406 Capitol St, Charleston, WV 25301-1717 | 2011-04-12 |
| 1942525191 | Mary Anne Lewis | Occupational Therapist | 717 Maple St, Stowe, VT 05672-4250 | 2010-03-31 |
| 1144472846 | Mary Catherine Lewis | Social Worker | 7438 Carrier Rd, Fort Myers, FL 33967-2757 | 2008-10-14 |
| 1659562304 | Mary Lewis | Rehabilitation Practitioner | 625 Fair Oaks Ave Ste 110, South Pasadena, CA 91030-2630 | 2007-08-07 |
| 1205030541 | Mary Lewis | Marriage & Family Therapist | 1932 Picasso Ave, Davis, CA 95618-0504 | 2007-06-12 |
| Street Address |
1473 MORAINE VALLEY DR |
| City | SEVERANCE |
| State | CO |
| Zip Code | 80550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294502 | Beyond Milestones Occupational Therapy, LLC | Occupational Therapist | 1021 Canal Dr, Windsor, CO 80550 | 2020-10-30 |
| 1114422706 | Noco Healing Homes LLC | Home Health | 541 Garden Drive, Unit O, Suite 100, Windsor, CO 80550 | 2018-03-27 |
| 1629592803 | Karly Yingst | Nurse Practitioner | 1516 Morning Glow Dr, Windsor, CO 80550 | 2017-07-31 |
| 1225413461 | Joshua Chad Kelly | Dentist | 375 W 4th Ave, Severance, CO 80550 | 2015-07-29 |
| 1861896169 | Tamara Percifield | Dental Hygienist | 651 Babine Ct, Windsor, CO 80550 | 2014-10-15 |
| 1740541952 | Tender Hearts Home Healthcare, LLC | Home Health | 201 10th Street, Windsor, CO 80550 | 2012-06-04 |
| 1831474931 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 9299 Eastman Park Drive, Windsor, CO 80550 | 2011-10-20 |
| 1366736357 | Brandon Lars Nielson | Dentist | 1297 Main St., Suite3, Windsor, CO 80550 | 2011-06-07 |
| 1255661096 | Duy Duy Thuc Tran | Physician Assistant | 1455 Main St Ste 150, Windsor, CO 80550 | 2009-12-29 |
| 1851529721 | The Otero Corporation | Intermediate Care Facility, Mentally Retarded | 1204 West Ash Street, Suite I, Windsor, CO 80550 | 2009-06-30 |
| Find all providers in zip 80550 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104636 | Anastasia Canfield | Counselor | 12341 E Cornell Ave # 18, Aurora, CO 80014-3323 | 2020-11-07 |
| 1619577228 | Barry Fowler | Counselor | 19649 W 92nd Dr Apt A, Arvada, CO 80007-8175 | 2020-11-01 |
| 1700486388 | Judy Lynn Austin | Counselor | 281 Gulch Rd, Durango, CO 81303-6452 | 2020-10-31 |
| 1912506536 | David Nasralla | Counselor | 422 Pagosa St Ste 9, Pagosa Springs, CO 81147-9955 | 2020-10-24 |
| 1134727308 | Bristlecone Family Counseling: Mental Health Counseling for Children & | Counselor | 700 Valley View Dr, Woodland Park, CO 80863-8370 | 2020-10-11 |
| 1043818230 | Carly Barone | Counselor | 9503 Castle Ridge Cir, Highlands Ranch, CO 80129-5700 | 2020-10-11 |
| 1629675160 | Allison Bratsch, Lpc, LLC | Counselor | 8791 Wolff Ct Ste 230, Westminster, CO 80031-3693 | 2020-10-07 |
| 1881291516 | Erin Michelle Lair | Counselor | 120 Kilgore St, Colorado Springs, CO 80911-2231 | 2020-10-06 |
| 1457968646 | Reginald A Moore | Counselor | 2878 W Riverwalk Cir Unit B, Littleton, CO 80123-8919 | 2020-09-30 |
| 1497362826 | Stacey Stafford | Counselor | 1511 W 124th Ave Ste 200, Westminster, CO 80234-1882 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.