Marion W Mault, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0701119 Issued in OH

Practice address

650 Joel Dr
Fort Campbell, KY 42223-5318

Phone

(270) 461-4018

NPI assigned

Mar 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBDDBD

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.

• Family Guidance Center

  • Community/Behavioral Health Agency
  • Ironton, OH
  • NPI 1356505358
  NPD (past)
• Il-Cao Family Guidance Center

  • Community/Behavioral Health Agency
  • Ironton, OH
  • NPI 1588824064
  NPD (past)

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1700027448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382140",
            "telephone_number": "740-532-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-461-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULT",
        "first_name": "MARION",
        "middle_name": "W",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "111037",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0701119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09425",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Sue Mathis, RN
• Taylor Matsinger, PT, DPT
• Bradley Michael Matthews, PA
• Cameron Mattingly
• Brett Allen Matzek, M.D.
• Kevin E. Mayberry, PA-C
• Peggy Ann Mayfield
• Robb Maylor
• Nathan C Maynard, MS, LAT, ATC
• Harold E Mazurek, PA-C

• Mental Health Counselor in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.