Caroline Vieira Marino

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-10031 Issued in ID

Practice address

112 9TH Ave S Ste B4
Nampa, ID 83651-3825

Phone

(208) 261-1076

Fax

(208) 586-5120

NPI assigned

Oct 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 12, 2024 through Jan 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caroline Marino Counseling LLC

  • Community/Behavioral Health Agency
  • Nampa, ID
  • NPI 1184576274
  NPD Authorized official

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1255816708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 S PINE FLATS WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429140",
            "telephone_number": "310-210-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 9TH AVE S STE B4",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513825",
            "telephone_number": "208-261-1076",
            "fax_number": "208-586-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "CAROLINE",
        "middle_name": "VIEIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-6977",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-10031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Manirakiza
• Larissa Mann, AU.D.
• Kelly B. Mansfield, D.D.S.
• Madison Mansfield, MD
• Lori Ann Manzanares, LPC
• Mark R Olsen DDS PLLC
• Mark S Chown Mdpa
• Kimberly Marker, LCPC
• Jennifer Erin Marschall
• Abigail Marshall

• Mental Health Counselor in Nampa, ID
• Providers in Nampa, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.