Active NPI
Kevin James Marsh, LICENSED CLINICAL PR
- Professional Counselor
- Crisfield, MD
National Provider Identifier
1336326271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC1689
- Practice address
- 19 Mill Lane
Crisfield, MD 21817 - Phone
- (410) 968-0569
- Fax
- (410) 968-3690
- NPI assigned
- Jan 23, 2008
- Last updated
- Jan 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC1689 | MD | Primary |
Addresses
Primary practice location
19 Mill Lane
Crisfield, MD 21817
Mailing address
19 Mill Lane
Crisfield, MD 21817
Phone (410) 968-0569
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC1689 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1336326271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 MILL LANE",
"city": "CRISFIELD",
"state": "MD",
"postal_code": "21817",
"telephone_number": "410-968-0569",
"fax_number": "410-968-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MILL LANE",
"city": "CRISFIELD",
"state": "MD",
"postal_code": "21817",
"telephone_number": "410-968-0569",
"fax_number": "410-968-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "KEVIN",
"middle_name": "JAMES",
"credential": "LICENSED CLINICAL PR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC1689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crisfield, MD
- Lower Somerset Ambulance and Rescue (Lower Somerset Ambulance & Rescue Squad)
- Maple Shade Youth & Family Services, Inc.
- Maple Shade Youth and Family Services, Inc.
- Marion Pharmacy Inc.
- Marion Pharmacy Inc.
- McCready Foundation Inc (McCready Addiction Services)
- McCready Foundation, Inc (McCready Outpatient Services)
- McCready Foundation, Inc (McCready Swing Beds)
- McCready Foundation, Inc (McCready Peyton Center)
- McCready Foundation, Inc (Edward McCready Psych)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.