Marita Acosta
Individual provider Active NPI Case Manager/Care Coordinator · Columbus, OH
NPI 1265828461 · NPPES record last updated May 10, 2021
Key facts
- NPI
- 1265828461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1801 Watermark Dr Ste 200
Columbus, OH 43215-7088 - Phone
- (763) 327-9421
- NPI assigned
- Apr 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Arms Counseling LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1801 Watermark Dr Ste 200
Columbus, OH 43215-7088
Mailing address
1801 Watermark Dr Ste 200
Columbus, OH 43215-7088
Phone (763) 327-9421
Other practice location 1
401 Sibley St
Saint Paul, MN 55101-1942
Phone (176) 327-9421
NPI Registry JSON
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1265828461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 WATERMARK DR STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432157088",
"telephone_number": "763-327-9421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 WATERMARK DR STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432157088",
"telephone_number": "763-327-9421"
}
],
"practiceLocations": [
{
"address_1": "401 Sibley St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551011942",
"country_code": "US",
"telephone_number": "176-327-9421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACOSTA",
"first_name": "MARITA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-14",
"last_updated": "2021-05-10",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
- Dana Acock
- Leif Acord
- Alicia L Acosta
- Bettina Acosta
- Hazel Acosta
- Joseph Acquah
- Samuel Richard Acquah
- Acquirement Healthcare Agency LLC,
- Active Day Oh, Inc.
- Active Edge Chiropractic
All providers in Columbus, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.