Active NPI
Marlane Kohl Cully
- Mental Health Counselor
- Pittsburgh, PA
National Provider Identifier
1063477958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC 001254
- Practice address
- 557 Olive St.
Pittsburgh, PA 15237 - Phone
- (412) 346-4697
- NPI assigned
- Apr 20, 2006
- Last updated
- Nov 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC 001254 | PA | Primary |
Addresses
Primary practice location
557 Olive St.
Pittsburgh, PA 15237
Mailing address
736 W. Ingomar Road
P.O. Box 128
Ingomar, PA 15127
Phone (412) 346-4697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC 001254 | Other | PA | LICENSE NO. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC 001254 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1063477958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 W. INGOMAR ROAD",
"address_2": "P.O. BOX 128",
"city": "INGOMAR",
"state": "PA",
"postal_code": "15127",
"telephone_number": "412-346-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 OLIVE ST.",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15237",
"telephone_number": "412-346-4697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLY",
"first_name": "MARLANE",
"middle_name": "KOHL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC 001254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "PC 001254",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.