Organization Active NPI

Marne March Olli, LLC

  • Community/Behavioral Health Agency
  • Gaylord, MI
National Provider Identifier
1164846655
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401012223 Issued in MI
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

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Marne March Olli, LLPCNPI 1245788496
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
66881OtherMIMERIDIAN HEALTH PLAN
12202205OtherMICAQH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.