Active NPI
Marne March Olli, LLC
- Community/Behavioral Health Agency
- Gaylord, MI
National Provider Identifier
1164846655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6401012223
- Legal business name
- MARNE MARCH OLLI, LLC
- Practice address
- 440 W Main St
Ste B
Gaylord, MI 49735-1885 - Phone
- (989) 350-0183
- NPI assigned
- Feb 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marne March Olli, LLPC
- Title
- Counselor
- Phone
- (989) 350-0183
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6401012223 | MI | Primary |
Addresses
Primary practice location
440 W Main St
Ste B
Gaylord, MI 49735-1885
Mailing address
7272 E Opal Lake Rd
Gaylord, MI 49735-9083
Phone (989) 350-0183
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66881 | Other | MI | MERIDIAN HEALTH PLAN |
| 12202205 | Other | MI | CAQH |
National Provider Directory
National Provider DirectoryLocations
440 W Main St
Ste B
Gaylord, MI 49735
Phone (231) 622-2122
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Gaylord, MI
- NPI 1245788496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391558400000",
"number": "1164846655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7272 E OPAL LAKE RD",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497359083",
"telephone_number": "989-350-0183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 W MAIN ST",
"address_2": "STE B",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351885",
"telephone_number": "989-350-0183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARNE MARCH OLLI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-05",
"last_updated": "2014-02-05",
"status": "A",
"authorized_official_last_name": "OLLI",
"authorized_official_first_name": "MARNE",
"authorized_official_middle_name": "MARCH",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "989-350-0183",
"authorized_official_credential": "LLPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6401012223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERIDIAN HEALTH PLAN",
"identifier": "66881",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12202205",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.