Organization Active NPI

Marilee J. Block, Ma, LPC, PLLC

  • Professional Counselor
  • Waxahachie, TX
National Provider Identifier
1750757225
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68519 Issued in TX
Legal business name
MARILEE J. BLOCK, MA, LPC, PLLC
Practice address
508 Grace St
Waxahachie, TX 75165-3046
Phone
(214) 301-2974
Fax
(972) 923-3886
NPI assigned
Aug 19, 2015
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Marilee Jane Block, LPC, PLLCNPI 1437591872
Title
Sole Proprietor : Manager
Phone
(214) 301-2974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 68519 TX Primary

Addresses

Primary practice location

508 Grace St
Waxahachie, TX 75165-3046

Mailing address

4836 FM 813
Waxahachie, TX 75165-8910
Phone (214) 301-2974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240322000118 TX Part B Supplier - Clinic/Group Practice 0547607848 Receives reassigned benefits from 1 practitioner
Practice locations: Waxahachie, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1750757225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 FM 813",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751658910",
            "telephone_number": "214-301-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GRACE ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653046",
            "telephone_number": "214-301-2974",
            "fax_number": "972-923-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILEE J. BLOCK, MA, LPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "MARILEE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR : MANAGER",
        "authorized_official_telephone_number": "214-301-2974",
        "authorized_official_credential": "LPC, PLLC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.