Marca Joyce Shore, MS, LMHC, CADAC IV,

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39000507A Issued in IN

Practice address

6401 S US Highway 41
Terre Haute, IN 47802-4749

Phone

(812) 299-1156

Fax

(812) 298-3192

NPI assigned

May 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Marca Joyce Markwell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1851610604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 S US HIGHWAY 41",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024749",
            "telephone_number": "812-299-1156",
            "fax_number": "812-298-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 S US HIGHWAY 41",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024749",
            "telephone_number": "812-299-1156",
            "fax_number": "812-298-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "MARCA",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC, CADAC IV,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000507A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCA",
            "last_name": "MARKWELL",
            "middle_name": "JOYCE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Roneisha Nichole Shipley, RBT
• Marlee Suian Short
• William C. Shriner, MD
• Lingan Sidda, MD
• Usaima Naveed Siddiqi, D.O.
• Katey Leeann Siddons

• Mental Health Counselor in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.