Organization Active NPI

Marshall Mental Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1942975537
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MARSHALL MENTAL HEALTH, PLLC
Practice address
1100 Our Ladys Way Ste 215
Ashland, KY 41101-7049
Phone
(606) 922-8159
NPI assigned
Aug 16, 2021
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Carolyn Marie Marshall, APRN, PMHNP, FNP
Title
Owner
Phone
(502) 496-3345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1100 Our Ladys Way Ste 215
Ashland, KY 41101-7049

Mailing address

1100 Our Ladys Way Ste 215
Ashland, KY 41101-7049
Phone (502) 496-3345

Other practice location 1

103 Arizona Dr
Russell, KY 41169-1801
Phone (606) 922-8159

Other names 1

  • Marshall Mental Health Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.marshallmentalhealth.com Direct
Other URL carolyn@marshallmentalhealth.com

National Provider Directory

National Provider Directory

Locations

1100 Our Ladys Way
Ste 215
Ashland, KY 41101
Phone (606) 922-8159

1100 Our Ladys Way
Ste 234235
Ashland, KY 41101
Phone (502) 496-3345

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1942975537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 OUR LADYS WAY STE 215",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017049",
            "telephone_number": "502-496-3345",
            "fax_number": "606-222-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 OUR LADYS WAY STE 215",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017049",
            "telephone_number": "606-922-8159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Arizona Dr",
            "address_purpose": "LOCATION",
            "city": "Russell",
            "state": "KY",
            "postal_code": "411691801",
            "country_code": "US",
            "telephone_number": "606-922-8159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARSHALL MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-496-3345",
        "authorized_official_credential": "APRN, PMHNP, FNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.marshallmentalhealth.com",
            "affiliation": "N",
            "endpointDescription": "PLLC website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 Our Ladys Way Ste 215",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411017049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "carolyn@marshallmentalhealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1100 Our Ladys Way Ste 215",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411017049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Marshall Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.