Sandra Faust Marjon, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH1474 Issued in FL

Practice address

67 W North Shore Ave
N Ft Myers, FL 33903-4403

Phone

(772) 485-1376

Fax

(239) 938-8380

NPI assigned

May 4, 2020

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1639790447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W NORTH SHORE AVE",
            "city": "N FT MYERS",
            "state": "FL",
            "postal_code": "339034403",
            "telephone_number": "772-485-1376",
            "fax_number": "239-938-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W NORTH SHORE AVE",
            "city": "N FT MYERS",
            "state": "FL",
            "postal_code": "339034403",
            "telephone_number": "772-485-1376",
            "fax_number": "239-938-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARJON",
        "first_name": "SANDRA",
        "middle_name": "FAUST",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH1474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curt Wayne Furbee, DC
• Craig Patrick Gindele, DC
• Bradley A Habuda, DPM
• Joan Spinner Haynes, M.D.
• Joseph Aloise, D.O.,P.a.
• Mark C. Means, D.C., P.a.
• Mark Clinton Means, D.C.
• Rick Allan Means II, D.C.
• Rick Allan Means, D.C.
• Randall Kerwin Melnar, D.C.

• Mental Health Counselor in N Ft Myers, FL
• Providers in N Ft Myers, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.