Individual provider Active NPI

Marilee Renae Trombley, LLPC

  • Counselor
  • Warren, MI
National Provider Identifier
1376889444
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401013255 Issued in MI
Practice address
30500 Van Dyke Ave
Suite 209
Warren, MI 48093-2195
Phone
(586) 558-6868
NPI assigned
Dec 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401013255 MI Primary

Addresses

Primary practice location

30500 Van Dyke Ave
Suite 209
Warren, MI 48093-2195

Mailing address

30500 Van Dyke Ave
Suite 209
Warren, MI 48093-2195
Phone (586) 558-6868

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
6401013255MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossing Paths, P.C. Current Accepting new patients
Pathways 2 PLLC Past 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": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1376889444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30500 VAN DYKE AVE",
            "address_2": "SUITE 209",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932195",
            "telephone_number": "586-558-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30500 VAN DYKE AVE",
            "address_2": "SUITE 209",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932195",
            "telephone_number": "586-558-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROMBLEY",
        "first_name": "MARILEE",
        "middle_name": "RENAE",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401013255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.