Individual provider Active NPI

Marcia L Felder

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1518466374
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
163743 Issued in OH
Practice address
895 Parsons Ave Ste B
Columbus, OH 43206-2398
Phone
(330) 314-4330
NPI assigned
Feb 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 163743 OH Primary

Addresses

Primary practice location

895 Parsons Ave Ste B
Columbus, OH 43206-2398

Mailing address

4128 Clayridge LN
Columbus, OH 43224-1818
Phone (614) 568-4971

Other practice location 1

209 W Woodland Ave
Youngstown, OH 44502-1866
Phone (330) 787-9180

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
163743OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1518466374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 CLAYRIDGE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432241818",
            "telephone_number": "614-568-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 PARSONS AVE STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062398",
            "telephone_number": "330-314-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 W Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445021866",
            "country_code": "US",
            "telephone_number": "330-787-9180",
            "fax_number": "234-254-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDER",
        "first_name": "MARCIA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "163743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.