Audrey Marie, CG, ATR-P

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CG61283254 Issued in WA

Practice address

1601 E Fourth Plain Blvd BLDG 17
Vancouver, WA 98661-3717

Phone

(360) 397-8246

Fax

(360) 397-8448

NPI assigned

Mar 29, 2022

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

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1295475499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986681678",
            "telephone_number": "360-397-8246",
            "fax_number": "360-397-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E FOURTH PLAIN BLVD BLDG 17",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613717",
            "telephone_number": "360-397-8246",
            "fax_number": "360-397-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIE",
        "first_name": "AUDREY",
        "credential": "CG, ATR-P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "18069",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG61283254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marchand, BCBA
• Lauren Marchese, RN
• Aleksandr Marchuk
• Joseph E Marcil, PT
• Leila-Chey Dadulla Marcos
• Mary Ruth Marigomen
• Maria Marin
• Miranda Rose Maring, NP
• Andrew Marino, DC
• Antonio Dante Marino, PA-C

• Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Counselor in Washington

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