Active NPI
Sharon Jean Marino-Chubb, LCPC
- Professional Counselor
- Columbia Falls, MT
National Provider Identifier
1912124173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 559
- Practice address
- 231 Chubb LN
Columbia Falls, MT 59912-8823 - Phone
- (406) 892-2892
- Fax
- (406) 892-2892
- NPI assigned
- Apr 19, 2007
- 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 | 559 | MT | Primary |
Addresses
Primary practice location
231 Chubb LN
Columbia Falls, MT 59912-8823
Mailing address
231 Chubb LN
Columbia Falls, MT 59912-8823
Phone (406) 892-2892
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 559 | Other | MT | LCPC LICENSE NUMBER |
| 0253734 | Medicaid | MT | |
| 36742 | Other | NBCC MEMBERSHIP | |
| 5123509 | Other | ACA MEMBERSHIP | |
| 74415 | Other | MT | BLUE CROSS PROVIDER NUMBE |
| 273427826-8 | Other | HPSO INSURANCE |
Other names 1
- Ms. Sharon Jean Marino
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 |
|---|---|---|---|
| 559 | MT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1912124173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 CHUBB LN",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "599128823",
"telephone_number": "406-892-2892",
"fax_number": "406-892-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 CHUBB LN",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "599128823",
"telephone_number": "406-892-2892",
"fax_number": "406-892-2892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO-CHUBB",
"first_name": "SHARON",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCPC LICENSE NUMBER",
"identifier": "559",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0253734",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCC MEMBERSHIP",
"identifier": "36742",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACA MEMBERSHIP",
"identifier": "5123509",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "74415",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPSO INSURANCE",
"identifier": "273427826-8",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "MARINO",
"middle_name": "JEAN",
"prefix": "MS.",
"credential": "LCPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Columbia Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.