Individual provider Active NPI

Eric Marsh, L.M.H.C.

  • Mental Health Counselor
  • Little Neck, NY
National Provider Identifier
1124441704
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004111 Issued in NY
Practice address
5628 Marathon Pkwy
2I
Little Neck, NY 11362-2011
Phone
(516) 647-0476
NPI assigned
Feb 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 004111 NY Primary

Addresses

Primary practice location

5628 Marathon Pkwy
2I
Little Neck, NY 11362-2011

Mailing address

10420 Queens Blvd
20T
Forest Hills, NY 11375-3629
Phone (516) 647-0476

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

NPI Registry JSON

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

{
    "created_epoch": "1391212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1124441704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 QUEENS BLVD",
            "address_2": "20T",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753629",
            "telephone_number": "516-647-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5628 MARATHON PKWY",
            "address_2": "2I",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622011",
            "telephone_number": "516-647-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "ERIC",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-01",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.