Individual provider Active NPI

Marjorie Cusick, MFT

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1922136977
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
25412 Issued in CA
Practice address
1068 East Ave
Suite a-1
Chico, CA 95926-1051
Phone
(530) 891-5571
Fax
(530) 891-6274
NPI assigned
Mar 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 25412 CA Primary

Addresses

Primary practice location

1068 East Ave
Suite a-1
Chico, CA 95926-1051

Mailing address

1068 East Ave
Suite a-1
Chico, CA 95926-1051
Phone (530) 891-5571

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240621000550 OH Practitioner - Marriage and Family Therapist 1557804341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinity Counseling LLCGroup PAC ID 0648575480, 4 clinicians

Practice addresses (Care Compare)

1839 Pearl Rd
Suite 101
Brunswick, OH 44212-3256
Phone (330) 220-9679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Counseling, LLC Marriage & Family Therapist CurrentSince May 21, 2024 Accepting new patients

Locations

1839 Pearl Rd
Ste 101
Brunswick, OH 44212
Phone (212) 273-8555

30575 Euclid Ave
Willoughby Hills, OH 44092
Phone (440) 516-3776

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922136977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 EAST AVE",
            "address_2": "SUITE A-1",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261051",
            "telephone_number": "530-891-5571",
            "fax_number": "530-891-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 EAST AVE",
            "address_2": "SUITE A-1",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261051",
            "telephone_number": "530-891-5571",
            "fax_number": "530-891-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSICK",
        "first_name": "MARJORIE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "25412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.