Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariko Ketchin

Individual provider Mental Health Counselor · NPI 1457369068

Mariko Ketchin is a Clinical Social Worker in Durango, Colorado. Qualified in 1999, 27 years ago. Practices as a sole proprietor. Licensed in Colorado and New Mexico.

Years since qualifying
27
Licensed in
CO, NM
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1911 Main Ave Ste 258
Durango, CO 81301-5083
Phone: (970) 903-7601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW 992942 (CO)
Mental Health Counselor Taxonomy 101YM0800X · Licence SWB-2025-0374 (NM)

Record details

NPI number1457369068
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2006
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address2801 Junction St, Durango, CO 81301-4132

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated

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