Individual provider Active NPI

Paul Richard Marion, PLPC

  • Mental Health Counselor
  • O'Fallon, MO
National Provider Identifier
1538655873
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2018012835 Issued in MO
Practice address
835 W Terra LN
O Fallon, MO 63366-2300
Phone
(636) 345-1106
NPI assigned
Jul 10, 2018
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2018012835 MO Primary

Addresses

Primary practice location

835 W Terra LN
O Fallon, MO 63366-2300

Mailing address

1170 Manresa LN
Florissant, MO 63031-7321
Phone (314) 322-7123

Other practice location 1

501 Nebraska St
Louisiana, MO 63353-1014
Phone (636) 345-1106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128001345 DC Practitioner - Mental Health Counselor 1052769387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Center IncGroup PAC ID 2860484094, 5 clinicians

Practice addresses (Care Compare)

5500 Holmes Run Pkwy
Suite C4
Alexandria, VA 22304-2860
Phone (703) 379-7350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018012835MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Center Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

5500 Holmes Run Pkwy
Ste C4
Alexandria, VA 22304
Phone (703) 379-7350

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1538655873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 MANRESA LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317321",
            "telephone_number": "314-322-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 W TERRA LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662300",
            "telephone_number": "636-345-1106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Nebraska St",
            "address_purpose": "LOCATION",
            "city": "Louisiana",
            "state": "MO",
            "postal_code": "633531014",
            "country_code": "US",
            "telephone_number": "636-345-1106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARION",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2018012835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.