Marabai Rose Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007534A Issued in IN

Legal business name

MARABAI ROSE COUNSELING, LLC

Practice address

4568 East State Rd 45
Bloomington, IN 47408

Phone

(812) 624-1864

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Marabai Rose Beczkiewicz, LCSW

Title

Tin Owner

Phone

(812) 624-1864

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marabai Rose, LCSW

  • Clinical Social Worker
  • Bloomington, IN
  • NPI 1548717028
  Medicare reassignment

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1316499395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 N RUSSELL RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089215",
            "telephone_number": "812-624-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 EAST STATE RD 45",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47408",
            "telephone_number": "812-624-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARABAI ROSE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "BECZKIEWICZ",
        "authorized_official_first_name": "MARABAI",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "TIN OWNER",
        "authorized_official_telephone_number": "812-624-1864",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007534A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Mannia, LMHC
• Ross Manning, LCSW
• Cheryl Lynn Mansell, MSW LCSW
• Alex Manuel, MD
• Bettina R Manuel, CCC-SLP
• Marathon Health, LLC (Marathon Health- Bloomington IN West 2nd St)
• Marc J Meadows DDS PC (Woodscrest Dental)
• Nicole Mardirossian
• James G Marencik, MD
• Heather Leigh Maritano, LCSW, RPT-S

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.