Individual provider Active NPI

Jan A. Marion Jr., LCSW

  • Counselor
  • Charlottesville, VA
National Provider Identifier
1750476909
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0904004745 Issued in VA
Practice address
911 E Jefferson St
Charlottesville, VA 22902-5355
Phone
(434) 984-0023
Fax
(434) 984-4852
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0904004745 VA Primary

Addresses

Primary practice location

911 E Jefferson St
Charlottesville, VA 22902-5355

Mailing address

911 E Jefferson St
Charlottesville, VA 22902-5355
Phone (434) 984-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000195 VA Practitioner - Clinical Social Worker 0749313286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Augusta Psychological AssociatesGroup PAC ID 4880663764, 5 clinicians

Practice addresses (Care Compare)

73 Wilson Blvd
Suite 101
Fishersville, VA 22939-2286
Phone (540) 949-4202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904004745VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Psychological Associates CurrentSince Aug 1, 2015 Accepting new patients
The Counseling Center PastSince Apr 4, 2012 Accepting new patients

Locations

73 Wilson Blvd
Ste 101
Fishersville, VA 22939
Phone (540) 886-5060

71 Wilson Blvd
Ste A1
Fishersville, VA 22939
Phone (540) 886-5060

Organizations & group practices 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750476909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E JEFFERSON ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025355",
            "telephone_number": "434-984-0023",
            "fax_number": "434-984-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E JEFFERSON ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025355",
            "telephone_number": "434-984-0023",
            "fax_number": "434-984-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "JAN",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0904004745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.