Madonna Marie Marable, PCC-S, NCC, LICDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0004397 Issued in OH

Practice address

120 W 2ND St Ste 425
Dayton, OH 45402-1623

Phone

(937) 241-6119

NPI assigned

Dec 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1407091960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 DAYTON LIBERTY RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454175949",
            "telephone_number": "937-241-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 2ND ST STE 425",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021623",
            "telephone_number": "937-241-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARABLE",
        "first_name": "MADONNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PCC-S, NCC, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "081070",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0004397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marc Drug Company

• Professional Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.