Marcus D Large

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1432 W Main St
Suite 700
Lebanon, TN 37087-1323

Phone

(615) 444-1880

Fax

(615) 444-7411

NPI assigned

Jun 11, 2015

Sex

Male

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

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1497136808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 W MAIN ST",
            "address_2": "SUITE 700",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871323",
            "telephone_number": "615-444-1880",
            "fax_number": "615-444-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 W MAIN ST",
            "address_2": "SUITE 700",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871323",
            "telephone_number": "615-444-1880",
            "fax_number": "615-444-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARGE",
        "first_name": "MARCUS",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Lackey, FNP-BC
• Allison Marie Lane
• Chandelle Lanier-Hackett, PT
• Amanda Kelley Lankford, DPT
• Charles B Lanning Jr., M.D.
• Larimore C. Warren, M.D., P.C.
• Teresa K. Larkins, DMD
• Lindsey Nicole Lattimore, FNP-C
• Jennifer Rippetoe Lawrence, MS, ATC
• Karina Lawrence

• Mental Health Counselor in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.