Kimberly Ann Marcin, M.A., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5376-125 Issued in WI

Practice address

833 N 26TH St
Milwaukee, WI 53233-1507

Phone

(414) 345-6388

Fax

(414) 344-7739

NPI assigned

Jun 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Ann O'Brien Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Penfield Children'S Center, Inc.

  • Clinic/Center
  • Milwaukee, WI
  • NPI 1275692410
  NPD (past)

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1649685264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 N 26TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331507",
            "telephone_number": "414-345-6388",
            "fax_number": "414-344-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N 26TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331507",
            "telephone_number": "414-345-6388",
            "fax_number": "414-344-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5376-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "O'BRIEN",
            "middle_name": "ANN",
            "credential": "M.A., L.P.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jill Kathleen Marchan, OTR, CHT, CLT, CMTPT
• Judith A Marchant, OT
• Patricia Marie Marchant, MSW
• Suzanne M Marchant, OT
• Marcia Family Home LLC
• Debra Marciniak, PA
• Jennifer Lynn Marcinkevic, MSW
• Cheri Marcott, PT
• Dominic Marcus, DO
• Lynn Marcus, R.N.

• Professional Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.