Stephen Hamilton Marcus, PRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

23-9154 Issued in WV

Practice address

705 S Park Rd
Charleston, WV 25304-2629

Phone

(304) 446-2336

NPI assigned

Sep 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Union Mission Behavioral Center

  • Peer Specialist
  • Charleston, WV
  • NPI 1730962960
  NPD
• Union Mission Behavioral Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, WV
  • NPI 1780219857
  NPD

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1275312043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 QUARRIER ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012410",
            "telephone_number": "304-416-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S PARK RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042629",
            "telephone_number": "304-446-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "STEPHEN",
        "middle_name": "HAMILTON",
        "credential": "PRSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "23-9154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keely Marcum
• Melinda S. Marcum, CRNA
• Samantha Jean Marcum
• Shawna Marcum
• Teena Marcum
• Sravanthi Marella, MD
• Amy L. Mareske, APRN-CRNA
• Paula Margocee, LPN
• Mary Beth Mariano
• Breonna Marietta

• Peer Specialist in Charleston, WV
• Providers in Charleston, WV by specialty
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.