Marius Maximus Foundation for Mental Health Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MARIUS MAXIMUS FOUNDATION FOR MENTAL HEALTH INC.

Practice address

128 S King St
Fayetteville, NC 28301-5970

Phone

(910) 518-9192

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Ilana Sheppard, NCCPSS

Title

Executive Director

Phone

(910) 518-9192

Specialties & licenses 2

Addresses

Tax ID family

Marius Maximus Foundation for Mental Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Marius Maximus Foundation for Mental Health Inc.

  • Peer Specialist
  • Fayetteville, NC
  • NPI 1205781457
  NPD tax ID

Locations

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1871356691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5288 EASON RD",
            "city": "WADE",
            "state": "NC",
            "postal_code": "283958990",
            "telephone_number": "910-496-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S KING ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015970",
            "telephone_number": "910-518-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIUS MAXIMUS FOUNDATION FOR MENTAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "ILANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-518-9192",
        "authorized_official_credential": "NCCPSS"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith N Marine
• Tyler James Marinelli, OTR/L
• Marion E. Wall (Cape Fear Adult Day Health Care Center)
• Christopher Colt Marion, DPT
• Marius Maximus Foundation for Mental Health Inc.
• Mark W Pike, DMD, PA
• Meghan Elizabeth Mark, PHARMD
• George Patrick Markham, BS PHARM
• Cassandra Marks
• Tyanna Marlow

• Voluntary or Charitable Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Voluntary or Charitable Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.