MARY GORE
NPI 1083354740
Counselor - Professional in Brighton, CO
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Gore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Broomfield, CO 80023
- Reassigned Medicare billing, Colorado enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Mary Gore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Gore reassigns Medicare benefits to Thornwoodwellnessllc (Broomfield, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Gore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Gore accept?
Health plans from Select Health 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.
# Mary Gore · NPI 1083354740
Professional provider in Brighton, Colorado. Individual provider, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1083354740 (Entity type: Individual)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0017819 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1611 JENNIFER ST, Brighton, CO 80601
- **Phone:** (615) 582-0582
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thornwoodwellnessllc (NPI 1811727720, Broomfield, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** March 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083354740) · Data from the CMS NPPES public registry.