Judith Marinich, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E-0003813 Issued in OH

Legal business name

JUDITH MARINICH, INC.

Practice address

38039 W Spaulding St
Willoughby, OH 44094-6110

Phone

(440) 918-1806

Fax

(440) 918-1807

NPI assigned

Aug 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Judith T Marinich, LPCC, LICDC

Title

Owner

Phone

(440) 918-1806

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1003047291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38039 W SPAULDING ST",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440946110",
            "telephone_number": "440-918-1806",
            "fax_number": "440-918-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38039 W SPAULDING ST",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440946110",
            "telephone_number": "440-918-1806",
            "fax_number": "440-918-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH MARINICH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "MARINICH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-918-1806",
        "authorized_official_credential": "LPCC, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "981392",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-0003813",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S-0017842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.