Active NPI
Dana Marie Marmo, MS CRC
- Mental Health Counselor
- Carbondale, PA
National Provider Identifier
1639723109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 141 Salem Ave Suite 104
Carbondale, PA 18407 - Phone
- (570) 489-5561
- NPI assigned
- Aug 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | PA | Primary |
Addresses
Primary practice location
141 Salem Ave Suite 104
Carbondale, PA 18407
Mailing address
141 Salem Avenue
Carbondale, PA 18407
Other practice location 1
6 skyline drive
clarks summit, PA 18411
Phone (570) 586-3734
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1639723109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 SALEM AVENUE",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "18407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 SALEM AVE SUITE 104",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "18407",
"telephone_number": "570-489-5561"
}
],
"practiceLocations": [
{
"address_1": "6 skyline drive",
"address_purpose": "LOCATION",
"city": "clarks summit",
"state": "PA",
"postal_code": "18411",
"country_code": "US",
"telephone_number": "570-586-3734",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARMO",
"first_name": "DANA",
"middle_name": "MARIE",
"credential": "MS CRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-01",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.