Active NPI
Ali Marino, LMFT
- Marriage & Family Therapist
- Fairhope, AL
National Provider Identifier
1750980397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- L550
- Practice address
- 10203 Woodmere Dr
Fairhope, AL 36532-5047 - Phone
- (251) 289-9590
- NPI assigned
- Oct 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | L550 | AL | Primary |
| Marriage & Family Therapist | 106H00000X | T0533 | MS |
Addresses
Primary practice location
10203 Woodmere Dr
Fairhope, AL 36532-5047
Mailing address
1327 Spring Hill Ave
Mobile, AL 36604-3231
Phone (251) 222-8880
Other practice location 1
1327 Spring Hill Ave
Mobile, AL 36604-3231
Phone (251) 222-8880
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
| License | State | Type | Specialty |
|---|---|---|---|
| L550 | AL | MD | Marriage & Family Therapist |
| T0533 | MS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart and Soul Therapy Services, LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairhope, AL
- NPI 1831803006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1750980397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 SPRING HILL AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366043231",
"telephone_number": "251-222-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10203 WOODMERE DR",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365325047",
"telephone_number": "251-289-9590"
}
],
"practiceLocations": [
{
"address_1": "1327 Spring Hill Ave",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366043231",
"country_code": "US",
"telephone_number": "251-222-8880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARINO",
"first_name": "ALI",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-24",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "L550",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MS",
"license": "T0533",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.