Johnny R Marcum, CDCA/CPRS/QMHS3

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

004481 Issued in OH

Practice address

3501 E Livingston Ave Ste a
Columbus, OH 43227-2220

Phone

(937) 496-5250

NPI assigned

Mar 2, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mr. Johnny R Marcum Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Saving Lives Ohio LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Huber Heights, OH
  • NPI 1164222527

  Case Manager/Care Coordinator

  NPD
• Saving Lives Ohio LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1346085727

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1023558681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 WALTON AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454025336",
            "telephone_number": "937-496-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 E LIVINGSTON AVE STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432272220",
            "telephone_number": "937-496-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "JOHNNY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CDCA/CPRS/QMHS3",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-02",
        "last_updated": "2025-04-07",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "185253",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "185253",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "004481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNNY",
            "last_name": "MARCUM",
            "middle_name": "R",
            "prefix": "MR.",
            "credential": "CDCA/CPRS/QMHS3",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alan P. Marco, MD
• Andrea A Marcon
• Mallory Marconi
• Sharon Ann Marconi, LPCC, NCC
• Cindy Jane Marcum, PMHNP-BC
• Patricia Lee Marcum, LSW
• Sadrina Kaye Marcum
• Trudy Marcum, BSW LSW
• Marcus Stewart Wellness LLC
• David B Marcus, MD

• Case Manager/Care Coordinator in Columbus, OH
• Providers in Columbus, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.