MEDICARE: MARY MURRAY L.P.C, C.A.C.II

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	7284	CO
2	101YP2500X	Professional Counselor	5269	CO

General Provider Information

NPI Number	:	1962830976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY MURRAY L.P.C, C.A.C.II

Provider Business Mailing Address
First Line	:	6343 W 120TH AVE STE 105
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80020-3701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1632 WANEKA LAKE TRL
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-1272
Country	:	US
Telephone Number	:	303-665-3833
Fax Number	:

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

Provider Enumeration Date	:	10/30/2013
Last Update Date	:	10/30/2013

Similar Medicare Providers

1326988726 — ONE GOOD EYE PROFESSIONAL LIMITED LIABILITY COMPANY
Practice Location Address:

2594 TRAILRIDGE DR E
LAFAYETTE, CO
80026-3186

Practice Phone: 303-449-7740
Practice Fax:

1790419182 — MRS. SUMMER JANE WOODWARD DNP, APRN, FNP-C
Practice Location Address:

2594 TRAILRIDGE DR E
LAFAYETTE, CO
80026-3186

Practice Phone: 303-449-7740
Practice Fax:

1164263943 — JACQUELINE WINKELMAN LCSW
Practice Location Address:

1200 W SOUTH BOULDER RD
LAFAYETTE, CO
80026-3546

Practice Phone: 303-736-9819
Practice Fax:

1538162581 — COLORADO OPEN IMAGING, LLC
Practice Location Address:

1120 W SOUTH BOULDER RD , STE 101
LAFAYETTE, CO
80026-8952

Practice Phone: 303-926-5466
Practice Fax: 303-926-5461

1477556934 — TRU COMMUNITY CARE
Practice Location Address:

2594 TRAILRIDGE DRIVE EAST
LAFAYETTE, CO
80026-3187

Practice Phone: 303-449-7740
Practice Fax: 303-604-5393

1134123821 — KERRI M CHARLES M.D.
Practice Location Address:

1000 W SOUTH BOULDER RD STE 110
LAFAYETTE, CO
80026-2753

Practice Phone: 303-415-4355
Practice Fax: 303-666-1982

Directions to “ MARY MURRAY L.P.C, C.A.C.II” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.