Individual provider Active NPI

Anna Marcel de Hermanas, LSW, LPCC

  • Mental Health Counselor
  • Marietta, OH
National Provider Identifier
1710044946
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E2377 Issued in OH
Practice address
200 Union SQ Ste 1
Marietta, OH 45750-3033
Phone
(740) 373-3001
Fax
(740) 373-3042
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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

LicenseStateTypeSpecialty
E2377OHMDMental Health Counselor
S9206OHMDSocial Worker
1812WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn H Bobbitt, LLC Past Accepting new patients

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E2377 OH Primary
Mental Health Counselor 101YM0800X 1812 WV
Social Worker 104100000X S9206 OH

Addresses

NPPES NPI Registry

Primary practice location

200 Union SQ Ste 1
Marietta, OH 45750-3033

Mailing address

PO Box 643
Marietta, OH 45750-0643
Phone (740) 374-5853

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
11589524OtherOHCAQH
S9206OtherOHSOCIAL WORK LICENSE
E2377OtherOHCLINICAL COUNSELOR LICENS
138617OtherOHVALUEOPTIONS PROVIDER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 31, 2008.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230681600000",
    "number": "1710044946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500643",
            "telephone_number": "740-374-5853",
            "fax_number": "740-374-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNION SQ STE 1",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503033",
            "telephone_number": "740-373-3001",
            "fax_number": "740-373-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCEL DE HERMANAS",
        "first_name": "ANNA",
        "credential": "LSW, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E2377",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "1812",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S9206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11589524",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "S9206",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL COUNSELOR LICENS",
            "identifier": "E2377",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS PROVIDER",
            "identifier": "138617",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.