Shirley Pamela Marin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

X-07972 Issued in NM

Practice address

6801 Mayhill CT NW
Albuquerque, NM 87120-1649

Phone

(505) 804-0691

NPI assigned

Oct 16, 2012

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1568715415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MAYHILL CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201649",
            "telephone_number": "505-804-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MAYHILL CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201649",
            "telephone_number": "505-804-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "SHIRLEY",
        "middle_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "X-07972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Marin, RN
• Briana Giselle Marin
• Guilherme Bromberg Marin, MD
• Judi Marin
• Sharon Gissell Marin
• Vanessa Cole Marin, MD
• Christy L Marinaro, PTA
• Jonathan L. Marinaro, MD
• Lizabeth L. Marinaro, MD
• Joan Marine, PA-C

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.