Active NPI
Marvice D. Marcus, PHD
- Counseling Psychologist
- Durham, NC
National Provider Identifier
1174096804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 5222
- Practice address
- 2009 Chapel Hill Rd
Durham, NC 27707-1109 - Phone
- (984) 212-8718
- NPI assigned
- Jan 4, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 5222 | NC | Primary |
Addresses
Primary practice location
2009 Chapel Hill Rd
Durham, NC 27707-1109
Mailing address
1533 Ellis Rd Apt K302
Durham, NC 27703-6408
Phone (702) 545-8065
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5222 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1174096804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 ELLIS RD APT K302",
"city": "DURHAM",
"state": "NC",
"postal_code": "277036408",
"telephone_number": "702-545-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 CHAPEL HILL RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071109",
"telephone_number": "984-212-8718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "MARVICE",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-04",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "5222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.