Individual provider Active NPI

Kirsten Kay Marino, M.ED., LPCA, NCC

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1801434618
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A15388 Issued in NC
Practice address
808 Salem Woods Dr Ste 104
Raleigh, NC 27615-3345
Phone
(617) 216-7235
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A15388 NC Primary

Addresses

Primary practice location

808 Salem Woods Dr Ste 104
Raleigh, NC 27615-3345

Mailing address

1332 Caistor LN
Raleigh, NC 27614-7215
Phone (617) 216-7235

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL KirstenNewell-Marino@CounselingProfessionalsPLLC.com Direct

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
A15388NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1801434618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 CAISTOR LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147215",
            "telephone_number": "617-216-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 SALEM WOODS DR STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153345",
            "telephone_number": "617-216-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "KIRSTEN",
        "middle_name": "KAY",
        "credential": "M.ED., LPCA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A15388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KirstenNewell-Marino@CounselingProfessionalsPLLC.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "808 Salem Woods Dr Ste 104",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276153345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.