Susana Margoth Marroquin

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

105624 Issued in CA

Practice address

1777 N Bellflower Blvd Ste 206
Long Beach, CA 90815-4020

Phone

(562) 668-0186

NPI assigned

Sep 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Western Youth Services

  • Adolescent and Children Mental Health Clinic/Center
  • Anaheim, CA
  • NPI 1770617987
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1649464330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD STE 206",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154020",
            "telephone_number": "562-668-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD STE 206",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154020",
            "telephone_number": "562-668-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARROQUIN",
        "first_name": "SUSANA",
        "middle_name": "MARGOTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Margaret Marquez
• Susana Marquez, FNP-BC
• Marienoelle Marquis, NTP
• Leigh Marrisett
• Jacqueline Denise Marroquin, MSN, APRN, FNP-C
• Sofia Marsetti, RDN
• Marshall E. Redding, MD, Inc.
• Ari Marshall, D.O.
• Jennifer Marshall, OTD
• Julie Elisabeth Marshall, RDA

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.