Individual provider Active NPI

Marcia Rodine, LMFT

  • Mental Health Counselor
  • Ashland, OR
National Provider Identifier
1790837144
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T0361 Issued in OR
Practice address
745 Alaska St
Ashland, OR 97520-2905
Phone
(541) 821-6578
NPI assigned
Jan 17, 2007
Last updated
Jan 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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 T0361 OR Primary

Addresses

Primary practice location

745 Alaska St
Ashland, OR 97520-2905

Mailing address

745 Alaska St
Ashland, OR 97520-2905
Phone (541) 821-6578

Other identifiers 1

IdentifierTypeStateIssuer
8076900000OtherORBLUE SHIELD/ BLUE CROSS

Other names 1

  • Ms. Marcia Nielsen Rodine Former name

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
T0361ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1790837144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 ALASKA ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202905",
            "telephone_number": "541-821-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 ALASKA ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202905",
            "telephone_number": "541-821-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODINE",
        "first_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "T0361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/ BLUE CROSS",
            "identifier": "8076900000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "RODINE",
            "middle_name": "NIELSEN",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.