Active NPI
Karen Marietti
- Counselor
- Boyne City, MI
National Provider Identifier
1154071322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401007642
- Practice address
- 930 Brockway St
Boyne City, MI 49712-9103 - Phone
- (231) 439-8242
- NPI assigned
- Mar 28, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401007642 | MI | Primary |
Addresses
Primary practice location
930 Brockway St
Boyne City, MI 49712-9103
Mailing address
673 Pine Pointe TRL Apt 8
Boyne City, MI 49712-8934
Phone (231) 360-0827
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 |
|---|---|---|---|
| 6401007642 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1154071322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 PINE POINTE TRL APT 8",
"city": "BOYNE CITY",
"state": "MI",
"postal_code": "497128934",
"telephone_number": "231-360-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 BROCKWAY ST",
"city": "BOYNE CITY",
"state": "MI",
"postal_code": "497129103",
"telephone_number": "231-439-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIETTI",
"first_name": "KAREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401007642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boyne City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.