Individual provider Active NPI

Henry Marcano

  • Mental Health Counselor
  • Saint Clair Shores, MI
National Provider Identifier
1851164743
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451023336 Issued in MI
Practice address
22645 Blackburn St
Saint Clair Shores, MI 48080-1351
Phone
(248) 802-6032
NPI assigned
Nov 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 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 6451023336 MI Primary

Addresses

Primary practice location

22645 Blackburn St
Saint Clair Shores, MI 48080-1351

Mailing address

22645 Blackburn St
Saint Clair Shores, MI 48080-1351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451023336MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Integrated Healthcare Network Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: henry.marcano.p1@direct.oihn.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1851164743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22645 BLACKBURN ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22645 BLACKBURN ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801351",
            "telephone_number": "248-802-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANO",
        "first_name": "HENRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.