Individual provider Active NPI

Marena Locke Counce, DDS

  • Dentist
  • Olive Branch, MS
National Provider Identifier
1376388264
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
112253 Issued in MS
Practice address
9035 E Sandidge Rd Ste 100
Olive Branch, MS 38654-3563
Phone
(662) 731-0866
NPI assigned
Jul 1, 2024
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 112253 MS Primary
General Practice Dentistry 1223G0001X 12527 TN

Addresses

Primary practice location

9035 E Sandidge Rd Ste 100
Olive Branch, MS 38654-3563

Mailing address

500 S Greer St
Memphis, TN 38111-3212
Phone (901) 258-2793

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
112253MSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Dental, PLC CurrentSince Jul 7, 2024 Accepting new patients

Locations

560 Colonial Rd
Ste 100
Memphis, TN 38117
Phone (901) 680-6881

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1376388264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S GREER ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381113212",
            "telephone_number": "901-258-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 E SANDIDGE RD STE 100",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543563",
            "telephone_number": "662-731-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNCE",
        "first_name": "MARENA",
        "middle_name": "LOCKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "112253",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "12527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.