Active NPI
Marianne Niese, MSED, LPC
- Mental Health Counselor
- Dayton, OH
National Provider Identifier
1154568830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.0700024
- Practice address
- 2555 S Dixie Dr
Suite 260
Dayton, OH 45409-1539 - Phone
- (937) 853-9061
- Fax
- (937) 853-9069
- NPI assigned
- Jan 16, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.0700024 | OH | Primary |
Addresses
Primary practice location
2555 S Dixie Dr
Suite 260
Dayton, OH 45409-1539
Mailing address
2191 Willowgrove Ave
Kettering, OH 45409
Phone (315) 521-0022
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 |
|---|---|---|---|
| C.0700024 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239926400000",
"number": "1154568830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 WILLOWGROVE AVE",
"city": "KETTERING",
"state": "OH",
"postal_code": "45409",
"telephone_number": "315-521-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 S DIXIE DR",
"address_2": "SUITE 260",
"city": "DAYTON",
"state": "OH",
"postal_code": "454091539",
"telephone_number": "937-853-9061",
"fax_number": "937-853-9069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIESE",
"first_name": "MARIANNE",
"name_prefix": "Ms.",
"credential": "MSED, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-16",
"last_updated": "2009-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.0700024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.