NPIMap

Organization Active NPI

Judith Marinich, Inc.

  • Professional Counselor
  • Willoughby, OH
National Provider Identifier
1003047291
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Judith T Marinich, LPCC, LICDCNPI 1760403232
Title
Owner
Phone
(440) 918-1806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 981392 OH
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X E-0003813 OH Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X S-0017842 OH

Addresses

Primary practice location

38039 W Spaulding St
Willoughby, OH 44094-6110

Mailing address

38039 W Spaulding St
Willoughby, OH 44094-6110
Phone (440) 918-1806

National Provider Directory

National Provider Directory

Locations

38039 W Spaulding St
Willoughby, OH 44094
Phone (216) 932-5770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Willoughby, OH

Sources for this page

  • 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.