Marinic Eatmon Fletcher, LPC, LCAS-A, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8290 Issued in NC

Practice address

425 Hidden Springs Dr
Durham, NC 27703-4924

Phone

(919) 697-1078

NPI assigned

Jun 25, 2012

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ultimate Care Counseling & Wellness, PLLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1265079529
  NPD (past) Authorized official

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1285998104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HIDDEN SPRINGS DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034924",
            "telephone_number": "919-697-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HIDDEN SPRINGS DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034924",
            "telephone_number": "919-697-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "MARINIC",
        "middle_name": "EATMON",
        "credential": "LPC, LCAS-A, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8290",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2461-A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ruth Fletcher, LCSW
• Ellie Riley-Mae Fletcher
• Emily R Fletcher, PA-C
• Jesse Fletcher
• Madisen L Fletcher
• Rasheedah Fletcher, M. ED, LCMHCA
• Demitrius Flint
• Katherine Flippin
• Shannon Elizabeth Flood
• Flora Physical Therapy LLC

• Professional Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.