Individual provider Active NPI

Jesse Marschewski, LAC

  • Professional Counselor
  • Fort Smith, AR
National Provider Identifier
1093548380
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A240811 Issued in AR
Practice address
3811 Rogers Ave
Fort Smith, AR 72903-3045
Phone
(479) 785-4083
Fax
(479) 434-6248
NPI assigned
Aug 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A240811 AR Primary

Addresses

Primary practice location

3811 Rogers Ave
Fort Smith, AR 72903-3045

Mailing address

620 S 21St St
Fort Smith, AR 72901-3915
Phone (479) 785-4083

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
A240811ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor House Incorporated of Fort Smith Arkansas PastSince Aug 25, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1093548380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S 21ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013915",
            "telephone_number": "479-785-4083",
            "fax_number": "479-434-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033045",
            "telephone_number": "479-785-4083",
            "fax_number": "479-434-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSCHEWSKI",
        "first_name": "JESSE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "A240811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.