Individual provider Active NPI

Jamie Nicole Marich, PH.D., LPCC-S, LICDC

  • Mental Health Counselor
  • Warren, OH
National Provider Identifier
1326269556
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0500149.SUPV Issued in OH
Practice address
1377 Springwood Trce SE
Warren, OH 44484-3100
Phone
(330) 881-2944
Fax
(330) 349-4274
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 061001 OH
Professional Counselor 101YP2500X C.0500149.CR OH
Mental Health Counselor 101YM0800X E.0500149.SUPV OH Primary

Addresses

Primary practice location

1377 Springwood Trce SE
Warren, OH 44484-3100

Mailing address

1377 Springwood Trce SE
Warren, OH 44484-3100
Phone (330) 881-2944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
061001OHMDAddiction (Substance Use Disorder) Counselor
E.0500149.SUPVOHMDMental Health Counselor
C.0500149.CROHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1326269556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 SPRINGWOOD TRCE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843100",
            "telephone_number": "330-881-2944",
            "fax_number": "330-349-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 SPRINGWOOD TRCE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843100",
            "telephone_number": "330-881-2944",
            "fax_number": "330-349-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARICH",
        "first_name": "JAMIE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPCC-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "061001",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0500149.CR",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0500149.SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.