Active NPI
Marla H. Libby, LPC
- Counselor
- Mauldin, SC
National Provider Identifier
1649498247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0700
- Practice address
- 315 Miller Rd
Mauldin, SC 29662-2034 - Phone
- (864) 627-9457
- Fax
- (864) 627-9456
- NPI assigned
- Apr 22, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0700 | SC | Primary |
Addresses
Primary practice location
315 Miller Rd
Mauldin, SC 29662-2034
Mailing address
206 Overcreek Rd
Greenville, SC 29607-5438
Phone (864) 297-6595
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0700 | SC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649498247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 OVERCREEK RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075438",
"telephone_number": "864-297-6595",
"fax_number": "864-627-9456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MILLER RD",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296622034",
"telephone_number": "864-627-9457",
"fax_number": "864-627-9456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBBY",
"first_name": "MARLA",
"middle_name": "H.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "0700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mauldin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.