Active NPI
Marilyn Joanna Lundin, MSW, LCSW
- Mental Health Counselor
- Smithfield, NC
National Provider Identifier
1881994507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C007647
- Practice address
- 1516 Yelverton Grove Rd
Smithfield, NC 27577-7583 - Phone
- (919) 601-3762
- NPI assigned
- Oct 27, 2010
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C007647 | NC | Primary |
Addresses
Primary practice location
1516 Yelverton Grove Rd
Smithfield, NC 27577-7583
Mailing address
1516 Yelverton Grove Rd
Smithfield, NC 27577-7583
Phone (919) 601-3762
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C007647 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1881994507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 YELVERTON GROVE RD",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275777583",
"telephone_number": "919-601-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 YELVERTON GROVE RD",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275777583",
"telephone_number": "919-601-3762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDIN",
"first_name": "MARILYN",
"middle_name": "JOANNA",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-27",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "C007647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.