Alycia Dion Marin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8098-125 Issued in WI

Practice address

3505 N 124TH St
Brookfield, WI 53005-2489

Phone

(414) 431-4444

Fax

(414) 431-0858

NPI assigned

Jun 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alycia Dion Ri'Chard Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Options Counseling, LLCGroup PAC ID 7012491715, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Options Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookfield, WI
  • NPI 1164571667

  Mental Health, WI

  Medicare reassignment Care Compare group NPD (past)
• Family Options Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookfield, WI
  • NPI 1437322807

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1962062190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 N 124TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052489",
            "telephone_number": "414-431-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 N 124TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052489",
            "telephone_number": "414-431-4444",
            "fax_number": "414-431-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "ALYCIA",
        "middle_name": "DION",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8098-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwhite@familyoptions.com",
            "affiliation": "N",
            "endpointDescription": "Office Manager",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3505 N 124th St",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530052489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYCIA",
            "last_name": "RI'CHARD",
            "middle_name": "DION",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lorelle Michelle Manion, M.D.
• Emily Mankowski
• Lynn Ellen Manske, DDS
• Laura Manthey, DPT
• Maria Portellos Patterson, M.D., S.C.
• Arger Chris Markakis, DDS
• Mandi Lynne Maronn, MD
• Patricia J Marrari
• Robert W Marrs, LMFT
• William Earl Martens, MD

• All providers in Brookfield, WI
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.