NPIMap

Individual provider Active NPI

Marizzel Garcia

  • Mental Health Counselor
  • Hamilton, OH
National Provider Identifier
1063955441
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1901464-SUPV Issued in OH
Practice address
9582 Princeton Glendale Rd
Hamilton, OH 45011-9709
Phone
(513) 346-5640
Fax
(513) 346-5644
NPI assigned
Dec 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.1700678 OH
Mental Health Counselor 101YM0800X C.1600504 OH
Mental Health Counselor 101YM0800X C.1700679 OH
Mental Health Counselor 101YM0800X E.1901464-SUPV OH Primary

Addresses

Primary practice location

9582 Princeton Glendale Rd
Hamilton, OH 45011-9709

Mailing address

9582 Princeton Glendale Rd
Hamilton, OH 45011-9709
Phone (513) 346-5640

Other practice location 1

5837 Hamilton Ave
Cincinnati, OH 45224-2923
Phone (513) 541-7577

Other practice location 2

1501 Madison Rd
Walnut Hills, OH 45206
Phone (513) 354-5200

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherOHLICENSURE BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305004105 OH Practitioner - Mental Health Counselor 7719322304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati Specialty Care LLC 343 clinicians

Practice addresses (Care Compare)

201 Old Bank Rd
Suite 103
Milford, OH 45150-2443
Phone (513) 624-2070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1700678OHMDCounselor
C.1600504OHMDMental Health Counselor
C.1700679OHMDMental Health Counselor
E.1901464-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Healthcare Connection, Inc Current Accepting new patients
The Healthcare Connection, Inc. CurrentSince Jan 1, 2024 Accepting new patients
The Healthcare Connection, Inc Current Accepting new patients
The Healthcare Connection, Inc CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Aug 4, 2024 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Aug 4, 2024 Accepting new patients
Northwest Michigan Health Services, Inc. Past Accepting new patients

Locations

1401 Steffen Ave
Cincinnati, OH 45215
Phone (513) 483-3092

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

1501 Madison Rd
Walnut Hills, OH 45206
Phone (513) 354-7000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1063955441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9582 PRINCETON GLENDALE RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450119709",
            "telephone_number": "513-346-5640",
            "fax_number": "513-346-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9582 PRINCETON GLENDALE RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450119709",
            "telephone_number": "513-346-5640",
            "fax_number": "513-346-5644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5837 Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452242923",
            "country_code": "US",
            "telephone_number": "513-541-7577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Madison Rd",
            "address_purpose": "LOCATION",
            "city": "Walnut Hills",
            "state": "OH",
            "postal_code": "45206",
            "country_code": "US",
            "telephone_number": "513-354-5200",
            "fax_number": "513-354-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARIZZEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1700678",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1600504",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1700679",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1901464-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE BOARD",
            "identifier": "00000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.