Richard Maroon, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0007875 Issued in OH

Practice address

680 High St Ste a
Wadsworth, OH 44281

Phone

(330) 690-2337

NPI assigned

Jan 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wolf Creek Wellness LLC

  • Addiction (Substance Use Disorder) Counselor
  • Wadsworth, OH
  • NPI 1003355090
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1861678849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 HIGH ST STE A",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811690",
            "telephone_number": "330-690-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 HIGH ST STE A",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "44281",
            "telephone_number": "330-690-2337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3780 Medina Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442569312",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 Corporate Woods Pkwy",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "OH",
            "postal_code": "446858730",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3051 Graham Rd",
            "address_purpose": "LOCATION",
            "city": "Stow",
            "state": "OH",
            "postal_code": "442243654",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROON",
        "first_name": "RICHARD",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-21",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0007875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219111",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neeraj Mahajan, MD
• Amy Mancini, IMFT
• Bruce L Manning, O.D.
• Mark S. Brigham, DO, Inc.
• Kevin D Markowski, M.D.
• Matthew John Marr, D.C.
• Zachary Martin, D.C.
• Robin D Marty
• Shelby Elizabeth Martz
• Mary Ann Pap-Barbera, Lisw-S, LLC

• Professional Counselor in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.