Active NPI
Mariann Mota, CADC
- Addiction (Substance Use Disorder) Counselor
- Ashland, KY
National Provider Identifier
1932200078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 166225
- Practice address
- 201 22ND St
Ashland, KY 41101 - Phone
- (606) 324-1141
- Fax
- (606) 325-8606
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 166225 | KY | Primary |
Addresses
Primary practice location
201 22ND St
Ashland, KY 41101
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30610026 | Medicaid | KY | |
| 000000559688 NONPAR | Other | ANTHEM BCBS | |
| 11754983 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166225 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ashland, KY
- NPI 1982615043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1932200078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411050790",
"telephone_number": "606-329-8588",
"fax_number": "606-329-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 22ND ST",
"city": "ASHLAND",
"state": "KY",
"postal_code": "41101",
"telephone_number": "606-324-1141",
"fax_number": "606-325-8606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTA",
"first_name": "MARIANN",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "166225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30610026",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000559688 NONPAR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11754983",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
- Jerry Russell Morris, CSW
- James Midford Morrison, MSSW
- John W Morton, O.D.,P.S.C.
- Adele Mosely
- Angela Mosley, LPN
- Ash Motimaya, MD
- Douglas M Mottley, M.D.
- Mountain Comprehensive Care Center, Inc. (Homeplace Clinic Safe Harbor)
- Mountain Comprehensive Care Center, Inc. (Homeplace Clinic Ashland)
- Jessica Mounts, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.