Marilyn Marchese, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH8173 Issued in FL

Practice address

2268 Las Fuentes Dr
Port Orange, FL 32129-9407

Phone

(407) 634-7660

NPI assigned

Sep 8, 2011

Last updated

Sep 8, 2011By the provider in NPPES

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1336420926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268 LAS FUENTES DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299407",
            "telephone_number": "407-634-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 LAS FUENTES DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299407",
            "telephone_number": "407-634-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESE",
        "first_name": "MARILYN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8173",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "10",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton Mandato, DMD
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• Anthony Manzolillo
• Jamie Marando, HIS
• Jeanna Katherine Marcussen
• Shirley Marhofer
• Marimina LLC (Port Orange Pharmacy)
• Veronica Michelle Marin, DC
• Mark Dees Enterprises Inc. (Amada Senior Care of Daytona Beach)

• Mental Health Counselor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.