MARY ANDERSON LCSW PC
NPI 1508906553
Counselor - Mental Health in Colorado Springs, CO
About Mary Anderson Lcsw Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ANDERSON LCSW PC (NPI 1508906553) is a healthcare organization registered as a mental health in Colorado Springs, Colorado and active in the NPI registry since February 2007. The organization lists Mary S. Anderson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Anderson Lcsw Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary Anderson Lcsw PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Colorado Springs, CO 80903
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 Anderson Lcsw PC's NPI number?
The NPI number for Mary Anderson Lcsw PC is 1508906553. It was assigned to this organization in the NPPES registry on February 7, 2007.
Where is Mary Anderson Lcsw PC located?
Mary Anderson Lcsw PC is located at 104 S Cascade Ave Suite203, Colorado Springs, CO 80903. The listed phone number is (719) 475-0292.
What is Mary Anderson Lcsw PC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mary Anderson Lcsw PC enrolled in Medicare?
Yes. Mary Anderson Lcsw PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mary Anderson Lcsw PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mary Anderson Lcsw PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mary Anderson Lcsw PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 Anderson Lcsw Pc · NPI 1508906553
Mental Health organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since February 7, 2007.
## Identity
- **NPI:** 1508906553 (Entity type: Organization)
- **Enumerated:** February 7, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Mary Anderson, PRESIDENT
## Practice location
- **Address:** 104 S CASCADE AVE, SUITE203, Colorado Springs, CO 80903-2250
- **Phone:** (719) 475-0292
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1508906553) · Data from the CMS NPPES public registry.