Active NPI
Marianne L Merrow, LCCT
- Pastoral Counselor
- Lady Lake, FL
National Provider Identifier
1669798211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- LCCT 0284030707
- Practice address
- 1011 Avenida Sonoma
Lady Lake, FL 32159-6437 - Phone
- (352) 753-4525
- Fax
- (352) 753-4525
- NPI assigned
- Apr 7, 2010
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | LCCT 0284030707 | FL | Primary |
Addresses
Primary practice location
1011 Avenida Sonoma
Lady Lake, FL 32159-6437
Mailing address
3261 Hwy 27/441
Suite B2
Fruitland Park, FL 34731-4497
Phone (352) 753-4525
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 |
|---|---|---|---|
| LCCT 0284030707 | FL | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1669798211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3261 HWY 27/441",
"address_2": "SUITE B2",
"city": "FRUITLAND PARK",
"state": "FL",
"postal_code": "347314497",
"telephone_number": "352-753-4525",
"fax_number": "352-753-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 AVENIDA SONOMA",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321596437",
"telephone_number": "352-753-4525",
"fax_number": "352-753-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERROW",
"first_name": "MARIANNE",
"middle_name": "L",
"credential": "LCCT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-07",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "FL",
"license": "LCCT 0284030707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lady Lake, FL
- Medical Solutions Health Care Center LLC
- Christina Lynn Mele, PHARMD
- Mental Health of Central Florida, LLC
- Connie K. Mercer, M.D.
- Daniel M Merck, M.D.
- Mersey Endocrine Consultation Services LLC
- Mesos, LLC
- Ann L Messmer, AU.D.
- Michel Habashy, MD. P.a. (Diabetes And Endocrinology)
- Mid-Florida Medical Group PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.