Individual provider Active NPI

Marianne Maruca, RN, NCC, LP

  • Counseling Psychologist
  • Rochester, MN
National Provider Identifier
1205582988
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP3737 Issued in MN
Practice address
2958 Dunlop Lane SE
Rochester, MN 55904
Phone
(507) 271-1676
NPI assigned
Feb 22, 2022
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 41803 NU
Counseling Psychologist 103TC1900X LP3737 MN Primary
Registered Nurse 163W00000X 831570 MN

Addresses

Primary practice location

2958 Dunlop Lane SE
Rochester, MN 55904

Mailing address

2958 Dunlop Lane SE
Rochester, MN 55904
Phone (507) 271-1676

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
LP3737MNMDCounseling Psychologist
831570MNMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1205582988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2958 DUNLOP LANE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55904",
            "telephone_number": "507-271-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2958 DUNLOP LANE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55904",
            "telephone_number": "507-271-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUCA",
        "first_name": "MARIANNE",
        "name_prefix": "Ms.",
        "credential": "RN, NCC, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": "41803",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP3737",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "831570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.