Active NPI
Marla Redman, LLPC
- Professional Counselor
- Gaylord, MI
National Provider Identifier
1205461183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401018164
- Practice address
- 127 W Main St Ste 202
Gaylord, MI 49735-1345 - Phone
- (231) 290-0246
- NPI assigned
- Mar 11, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401018164 | MI | Primary |
Addresses
Primary practice location
127 W Main St Ste 202
Gaylord, MI 49735-1345
Mailing address
PO Box 12
Topinabee, MI 49791-0012
Phone (231) 290-7268
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 |
|---|---|---|---|
| 6401018164 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1205461183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "TOPINABEE",
"state": "MI",
"postal_code": "497910012",
"telephone_number": "231-290-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 W MAIN ST STE 202",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351345",
"telephone_number": "231-290-0246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMAN",
"first_name": "MARLA",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401018164",
"primary": true
}
],
"identifiers": [],
"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 Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.