Melissa Marie Marceric, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

110346 Issued in OH

Practice address

5553 Fulton Dr NW
Canton, OH 44718-1728

Phone

(330) 705-6989

Fax

(330) 205-1106

NPI assigned

Jun 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Project Solutions of Stark County

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1609283712
  NPD (past)

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1114456118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35486",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447355486",
            "telephone_number": "330-705-6989",
            "fax_number": "330-205-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5553 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181728",
            "telephone_number": "330-705-6989",
            "fax_number": "330-205-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCERIC",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "110346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Glassman Inc
• Marc Glassman Inc
• Marc Glassman Inc
• Linda Marcel-Rene, LPC
• Marissa Marcelli
• Karen Marchand, PCC-S
• Rachel Marchetta, DO
• Alyssa Marchman
• Jeffrey Joseph Marco
• Kirsten Marconi-Hutkay, AUD

• Addiction (Substance Use Disorder) Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.