Individual provider Active NPI

Marina Stephanie Doering, LMHC, ATR-BC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1023554755
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-20740 Issued in AZ
Practice address
2375 E Camelback Rd Ste 600
Phoenix, AZ 85016-3493
Phone
(480) 442-0325
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0134533TELE VT
Mental Health Counselor 101YM0800X 11872 MA
Mental Health Counselor 101YM0800X PC016430 PA
Mental Health Counselor 101YM0800X LPC-20740 AZ Primary

Addresses

Primary practice location

2375 E Camelback Rd Ste 600
Phoenix, AZ 85016-3493

Mailing address

6164 E Janice Way
Scottsdale, AZ 85254-2537
Phone (413) 244-0680

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marina.doering@creativecontinuumaz.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-20740AZMDMental Health Counselor
11872MAMDMental Health Counselor
PC016430PAMDMental Health Counselor
068.0134533TELEVTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Continuum Therapy LLC Mental Health Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1023554755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6164 E JANICE WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542537",
            "telephone_number": "413-244-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E CAMELBACK RD STE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163493",
            "telephone_number": "480-442-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERING",
        "first_name": "MARINA",
        "middle_name": "STEPHANIE",
        "credential": "LMHC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134533TELE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "11872",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC016430",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-20740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marina.doering@creativecontinuumaz.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2375 E Camelback Rd Ste 600",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850163493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.