Active NPI
Marilyn Dianne Maclin, LPC
- Counselor
- Kennett, MO
National Provider Identifier
1346326501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 002469
- Practice address
- South Bypass and Jackson Street
Kennett, MO 63851 - Phone
- (573) 717-1776
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 002469 | MO | Primary |
Addresses
Primary practice location
South Bypass and Jackson Street
Kennett, MO 63851
Mailing address
708 S 4TH St
Hayti, MO 63851-1906
Phone (573) 359-0312
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 |
|---|---|---|---|
| 002469 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346326501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 S 4TH ST",
"city": "HAYTI",
"state": "MO",
"postal_code": "638511906",
"telephone_number": "573-359-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTH BYPASS AND JACKSON STREET",
"city": "KENNETT",
"state": "MO",
"postal_code": "63851",
"telephone_number": "573-717-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLIN",
"first_name": "MARILYN",
"middle_name": "DIANNE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "002469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.