Active NPI
Marilyn M Acton, LPC
- Professional Counselor
- Jackson, MI
National Provider Identifier
1104062595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401010908
- Practice address
- 1205 Park Rd
Jackson, MI 49203-5010 - Phone
- (517) 209-7879
- NPI assigned
- Jan 6, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401010908 | MI | Primary |
Addresses
Primary practice location
1205 Park Rd
Jackson, MI 49203-5010
Mailing address
1205 Park Rd
Jackson, MI 49203-5010
Phone (517) 209-7879
Other practice location 1
2017 4th St
Jackson, MI 49203-4572
Phone (517) 206-7879
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 |
|---|---|---|---|
| 6401010908 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1104062595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 PARK RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492035010",
"telephone_number": "517-209-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 PARK RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492035010",
"telephone_number": "517-209-7879"
}
],
"practiceLocations": [
{
"address_1": "2017 4th St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492034572",
"country_code": "US",
"telephone_number": "517-206-7879",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACTON",
"first_name": "MARILYN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-06",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401010908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.