MARY JENNIFER LEWIS M.A.
NPI 1053766469
Counselor - Professional in Carr, CO

Active since May 04, 2016PECOS Enrolled
7499 COUNTY ROAD 126, CARR, CO 80612(970) 388-4755 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 4, 2023, Dec 20, 2016 (2 updates tracked since 2016).

About Mary Jennifer Lewis M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JENNIFER LEWIS M.A. (NPI 1053766469) is an individual professional provider in Carr, Colorado and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053766469
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY JENNIFER LEWISCredential: M.A.
Location Address7499 COUNTY ROAD 126Carr, CO 80612-9600
Mailing Address7499 County Road 126Carr, CO 80612-9600 · (970) 388-4755
Sole ProprietorNo
Enumeration DateMay 4, 2016
Last NPPES UpdateDecember 4, 20232 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
NPI 1053766469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
7499 COUNTY ROAD 126, Carr, CO 80612

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Jennifer Lewis M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Professional)
7499 COUNTY ROAD 126
CARR, CO 80612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053766469, enumerated as an "individual" on May 04, 2016.

The provider is located at 7499 COUNTY ROAD 126 CARR, CO 80612 and the phone number is (970) 388-4755.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Oscar Insurance Company and Providence Health Plan. Please consult your insurance carrier or call the provider to verify.