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

Mrs. Mary Lee Churchill, LPC0016945

Individual provider Professional Counselor · NPI 1720724909

Mrs. Mary Lee Churchill, LPC0016945 is a Mental Health Counselor in Colorado Springs, Colorado. Qualified in 2018, 8 years ago. Practices with Family Care Center LLC, a 693-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
8
Licensed in
CO
In the registry since
2022
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Practice location Address checks out

2860 S Circle Dr Ste 103
Colorado Springs, CO 80906-4113
Phone: (719) 297-7646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC.0016945 (CO)

Record details

NPI number1720724909
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC0016945
Sole proprietorYes
NPI enumeratedMay 10, 2022
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Family Care Center Llc — 693 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Colorado Springs