Judith Marinich, PCC, LICDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E-0003813 Issued in OH

Practice address

38039 W Spaulding St
Willoughby, OH 44094-6110

Phone

(440) 918-1806

Fax

(440) 918-1807

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kenneth a Deluca PHD and Associates IncGroup PAC ID 2860469160, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kenneth a. de Luca,PH.D. & Associates, Inc.

  • Psychologist
  • North Ridgeville, OH
  • NPI 1821018698
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1760403232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38039 W SPAULDING ST",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440946110",
            "telephone_number": "440-918-1806",
            "fax_number": "440-918-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38039 W SPAULDING ST",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440946110",
            "telephone_number": "440-918-1806",
            "fax_number": "440-918-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINICH",
        "first_name": "JUDITH",
        "credential": "PCC, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E-0003813",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "981392",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S-0017842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manor Care of Willoughby Oh, LLC
• Maranatha Medical Transportation Services LLC
• Nicolas John Marchinchin, C.N.P.
• Margaret Krob
• Marinela L Turc MD LLC
• Mark F. Kapusta O.D. Inc
• Amber Marquardt
• Marche Marshall
• Martin L Mandel M. D.,Inc
• Debbie Martin, LPN

• Mental Health Counselor in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.