Active NPI
Katelynn Marie Marble
- Case Manager/Care Coordinator
- Monroe, MI
National Provider Identifier
1467097196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 15502 S Telegraph Rd
Monroe, MI 48161-5520 - Phone
- (000) 000-0000
- NPI assigned
- Nov 18, 2019
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
15502 S Telegraph Rd
Monroe, MI 48161-5520
Mailing address
2005 Ashland Ave
Toledo, OH 43620-1703
Phone (419) 841-7701
Other practice location 1
2272 Collingwood Blvd
Toledo, OH 43620-1147
Phone (419) 841-1691
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zepf Center | Past | Accepting new patients | |
| Zepf Center | 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.
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1215947809
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1942566468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1467097196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 ASHLAND AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436201703",
"telephone_number": "419-841-7701",
"fax_number": "419-841-1691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15502 S TELEGRAPH RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481615520",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [
{
"address_1": "2272 Collingwood Blvd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436201147",
"country_code": "US",
"telephone_number": "419-841-1691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARBLE",
"first_name": "KATELYNN",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-18",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.