Individual provider Active NPI

Norah Ann Marler

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1831972207
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PMH2093 Issued in FL
Practice address
10245 Centurion Pkwy N Ste 250
Jacksonville, FL 32256-0561
Phone
(904) 674-3521
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 PMH2093 FL Primary

Addresses

Primary practice location

10245 Centurion Pkwy N Ste 250
Jacksonville, FL 32256-0561

Mailing address

42 Appleton CT
Saint Augustine, FL 32092-0100
Phone (908) 715-8659

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
PMH2093FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Owimast Health LLC CurrentSince Aug 27, 2023 Accepting new patients

Locations

10245 Centurion Pkwy N
Ste 250
Jacksonville, FL 32256
Phone (904) 277-0027

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.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1831972207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 APPLETON CT",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320920100",
            "telephone_number": "908-715-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 CENTURION PKWY N STE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560561",
            "telephone_number": "904-674-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLER",
        "first_name": "NORAH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "PMH2093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.