MEDICARE: MS. AMY LORRAINE AU MA, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0023289	CO

General Provider Information

NPI Number	:	1710845250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY LORRAINE AU MA, LPCC

Provider Business Mailing Address
First Line	:	1591 E CALEY AVE
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80121-2515
Country	:	US
Telephone Number	:	720-449-1103
Fax Number	:

Provider Business Practice Location Address
First Line	:	4901 E DRY CREEK RD STE 240
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80122-4020
Country	:	US
Telephone Number	:	720-449-1103
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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