Active NPI
Paul Richard Marion, PLPC
- Mental Health Counselor
- O'Fallon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2018012835
- Practice address
- 835 W Terra LN
O Fallon, MO 63366-2300 - Phone
- (636) 345-1106
- NPI assigned
- Jul 10, 2018
- Last updated
- Jul 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018012835 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Center Inc | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.