Active NPI
Marilyn Gertrude Richmond, MA, NBCC, LPC
- Professional Counselor
- Fayetteville, NC
National Provider Identifier
1861650293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5518
- Practice address
- 7027 Salinas CT
Fayetteville, NC 28314-5262 - Phone
- (910) 867-0736
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5518 | NC | Primary |
Addresses
Primary practice location
7027 Salinas CT
Fayetteville, NC 28314-5262
Mailing address
7027 Salinas CT
Fayetteville, NC 28314-5262
Phone (910) 867-0736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103483 | Medicaid | NC |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5518 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1861650293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7027 SALINAS CT",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283145262",
"telephone_number": "910-867-0736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7027 SALINAS CT",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283145262",
"telephone_number": "910-867-0736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "MARILYN",
"middle_name": "GERTRUDE",
"name_prefix": "Mrs.",
"credential": "MA, NBCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103483",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.