Elizabeth Nicole Marquez, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3055 Issued in MS

Practice address

1014 N Jackson St
Starkville, MS 39759-2211

Phone

(662) 435-0670

Fax

(662) 792-0982

NPI assigned

Feb 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Golden Triangle Healing Place Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Starkville, MS
  • NPI 1386356806
  NPD

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1407610751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 N JACKSON ST",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592211",
            "telephone_number": "662-435-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 N JACKSON ST",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592211",
            "telephone_number": "662-435-0670",
            "fax_number": "662-792-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "3055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shareka N Macon, MS
• Melissa Madden, LPC
• Carly Rose Madeen, PA-C
• Chacketa L Mahmood, MA
• Erin Nicole Mahony, PTA
• John Francis Marszalek III, PH.D., LPC
• Martin Oral and Maxillofacial Surgery, PA
• Chastity Nicole Martin, RDH
• Rachel Romero Martin, FNP
• Robert Andrew Martin, DMD, MD

• Mental Health Counselor in Starkville, MS
• Providers in Starkville, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.