Max W Marion, CSA

Primary specialty

SpecialistTaxonomy code 174400000X

License

SA272 Issued in KY

Practice address

1725 Ashley Cir
Suite 212
Bowling Green, KY 42104-3337

Phone

(270) 782-0434

Fax

(270) 782-0564

NPI assigned

Jul 15, 2014

Last updated

Jul 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1043627771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 SCOTTSVILLE RD",
            "address_2": "B2 PMB137",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043376",
            "telephone_number": "270-782-0434",
            "fax_number": "270-782-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 ASHLEY CIR",
            "address_2": "SUITE 212",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043337",
            "telephone_number": "270-782-0434",
            "fax_number": "270-782-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "MAX",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "SA272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mapletree Mental Wellness
• Katie Marcum
• Ryley Marez
• Bethany Hope Marion, MA, BCBA, LBA
• Joellen Marie Marion, APRN PMHNP-BC LPCC-S
• Mark J. Yurchisin
• Mark R. Rice, Jr., DDS, P.S.C. (Affordable Dentures & Implants - Bowling Green)
• Paul S Markle, LMFT
• Rachel Marklin, PA-C
• Marpe' Therapy Services

• Specialist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.