Individual provider Active NPI

Marlo Carney Zarzaur, ED.D., LPC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1356500359
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10746-125 Issued in WI
Practice address
525 Junction Rd Ste 6500
Madison, WI 53717-2153
Phone
(608) 205-8651
Fax
(608) 470-7481
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2208 TN
Mental Health Counselor 101YM0800X 4394 NC
Professional Counselor 101YP2500X LPC2208 TN
School Counselor 101YS0200X TN
Professional Counselor 101YP2500X 10746-125 WI Primary
Counselor 101Y00000X LPC2008 TN

Addresses

Primary practice location

525 Junction Rd Ste 6500
Madison, WI 53717-2153

Mailing address

2409 Parmenter St Apt 425
Middleton, WI 53562-2687
Phone (901) 734-1778

Other practice location 1

3950 Central Ave
Memphis, TN 38111-7602
Phone (901) 458-6291

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

LicenseStateTypeSpecialty
LPC2008TNMDCounselor
LPC2208TNMDProfessional Counselor
10746-125WIMDProfessional Counselor
4394NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Psychological Center, Inc. Professional PastSince May 1, 2021 Accepting new patients
Peace of Mind Therapy LLC Mental Health PastSince Mar 1, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1356500359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 PARMENTER ST APT 425",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622687",
            "telephone_number": "901-734-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 JUNCTION RD STE 6500",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172153",
            "telephone_number": "608-205-8651",
            "fax_number": "608-470-7481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381117602",
            "country_code": "US",
            "telephone_number": "901-458-6291",
            "fax_number": "901-323-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZARZAUR",
        "first_name": "MARLO",
        "middle_name": "CARNEY",
        "name_prefix": "Dr.",
        "credential": "ED.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2208",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4394",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC2208",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10746-125",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "LPC2008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.