Individual provider Active NPI

Sherry Ann Marzick, RNC

  • Mental Health Counselor
  • Canton, OH
National Provider Identifier
1730469529
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RN134603 Issued in OH
Practice address
3745 Whipple Ave NW
Canton, OH 44718-4805
Phone
(330) 493-3313
Fax
(330) 493-6413
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RN134603 OH Primary

Addresses

Primary practice location

3745 Whipple Ave NW
Canton, OH 44718-4805

Mailing address

3745 Whipple Avenue NW
Canton, OH 44718-2933
Phone (330) 493-3313

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
RN134603OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avo Behavioral Health LLC PastSince Sep 1, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1730469529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 WHIPPLE AVENUE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182933",
            "telephone_number": "330-493-3313",
            "fax_number": "330-493-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184805",
            "telephone_number": "330-493-3313",
            "fax_number": "330-493-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZICK",
        "first_name": "SHERRY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "RN134603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.