Individual provider Active NPI

Marnica Lemos, CRM

  • Addiction (Substance Use Disorder) Counselor
  • Saint Helens, OR
National Provider Identifier
1255790895
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
17-10-05 Issued in OR
Practice address
185 N 4TH St
Saint Helens, OR 97051
Phone
(503) 438-2180
Fax
(503) 397-5373
NPI assigned
Feb 10, 2016
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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 17-10-05 OR Primary

Addresses

Primary practice location

185 N 4TH St
Saint Helens, OR 97051

Mailing address

PO Box 1234
Saint Helens, OR 97051-8234
Phone (503) 397-5211

Other practice location 1

1312 SW Washington St
Portland, OR 97205-2327
Phone (505) 535-1150 ext. 2117

Other names 1

  • Marnica Nicole Ferguson Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1255790895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1234",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970518234",
            "telephone_number": "503-397-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N 4TH ST",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "97051",
            "telephone_number": "503-438-2180",
            "fax_number": "503-397-5373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 SW Washington St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052327",
            "country_code": "US",
            "telephone_number": "505-535-1150 x2117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMOS",
        "first_name": "MARNICA",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "17-10-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARNICA",
            "last_name": "FERGUSON",
            "middle_name": "NICOLE",
            "credential": "CRM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Helens, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.