Individual provider Active NPI

Marcus D Greer, CDC-A

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1053945683
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.172706 Issued in OH
Practice address
2600 Oakstone Dr
Columbus, OH 43231-7613
Phone
(614) 599-6869
Fax
(614) 413-3464
NPI assigned
Feb 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X CDCA.172706 OH Primary

Addresses

Primary practice location

2600 Oakstone Dr
Columbus, OH 43231-7613

Mailing address

1324 Parsons Ave
Columbus, OH 43206-3642
Phone (614) 809-9698

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tmac.clientsecure.me Health Information Exchange (HIE) Mighty Acorn Counseling LLC

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
CDCA.172706OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1053945683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432063642",
            "telephone_number": "614-809-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OAKSTONE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432317613",
            "telephone_number": "614-599-6869",
            "fax_number": "614-413-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "MARCUS",
        "middle_name": "D",
        "credential": "CDC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.172706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tmac.clientsecure.me",
            "affiliation": "Y",
            "affiliationName": "Mighty Acorn Counseling LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2600 Oakstone Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432317613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.