Active NPI
Marjorie Ann Frazier, M.S.,CASAC, LMHC
- Addiction (Substance Use Disorder) Counselor
- Utica, NY
National Provider Identifier
1376667840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4619
- Practice address
- 2626 Glenwood Rd
Utica, NY 13501-6323 - Phone
- (315) 797-1531
- Fax
- (315) 797-1527
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4619 | NY | Primary |
| Mental Health Counselor | 101YM0800X | 000711-1 | NY |
Addresses
Primary practice location
2626 Glenwood Rd
Utica, NY 13501-6323
Mailing address
2626 Glenwood Rd
Utica, NY 13501-6323
Phone (315) 797-1531
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4619 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 000711-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1376667840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 GLENWOOD RD",
"city": "UTICA",
"state": "NY",
"postal_code": "135016323",
"telephone_number": "315-797-1531",
"fax_number": "315-797-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 GLENWOOD RD",
"city": "UTICA",
"state": "NY",
"postal_code": "135016323",
"telephone_number": "315-797-1531",
"fax_number": "315-797-1527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "MARJORIE",
"middle_name": "ANN",
"credential": "M.S.,CASAC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "4619",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "000711-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.