MARY GORE
NPI 1083354740
Counselor - Professional in Brighton, CO

Active since March 30, 2022PECOS EnrolledAccepts Medicare Assignment
1611 JENNIFER ST, BRIGHTON, CO 80601(615) 582-0582 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Gore NPPES

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

MARY GORE (NPI 1083354740) is an individual professional provider in Brighton, Colorado, licensed in Colorado (0017819) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1083354740
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY GORE
Location Address1611 JENNIFER STBrighton, CO 80601
Mailing Address1611 Jennifer StBrighton, CO 80601
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1083354740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CO · 0017819
1611 JENNIFER ST, Brighton, CO 80601

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 and accepts Medicare assignment

Mary Gore is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385145218
PECOS Enrollment IDI20250901000417
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gore's NPI number?

The NPI number for Mary Gore is 1083354740. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Mary Gore located?

Mary Gore practices at 1611 Jennifer St, Brighton, CO 80601. The listed phone number is (615) 582-0582.

What is Mary Gore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Gore enrolled in Medicare?

Yes. Mary Gore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Gore accept?

Health plans from Providence Health Plan list Mary Gore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Gore was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.