Individual provider Active NPI

Marlon Thornton, LMHC-P, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Niagara Falls, NY
National Provider Identifier
1225101181
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
19197 Issued in NY
Practice address
800 Main St
Suite 2a
Niagara Falls, NY 14301-1156
Phone
(716) 282-1228
Fax
(716) 282-1238
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19197 NY Primary

Addresses

Primary practice location

800 Main St
Suite 2a
Niagara Falls, NY 14301-1156

Mailing address

800 Main St
Suite 2a
Niagara Falls, NY 14301-1156
Phone (716) 282-1228

Other identifiers 1

IdentifierTypeStateIssuer
19197OtherNYCASAC-T

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

LicenseStateTypeSpecialty
19197NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1225101181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "address_2": "SUITE 2A",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011156",
            "telephone_number": "716-282-1228",
            "fax_number": "716-282-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "address_2": "SUITE 2A",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011156",
            "telephone_number": "716-282-1228",
            "fax_number": "716-282-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "MARLON",
        "credential": "LMHC-P, CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "19197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASAC-T",
            "identifier": "19197",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.