Individual provider Active NPI

David Edward Marion, PH.D.

  • Professional Counselor
  • Jackson, MS
National Provider Identifier
1972631380
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0638 Issued in MS
Practice address
460 Briarwood Dr Ste 510
Jackson, MS 39206-3057
Phone
(601) 956-4816
Fax
(601) 956-4817
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0120 MS
Professional Counselor 101YP2500X 0638 MS Primary

Addresses

Primary practice location

460 Briarwood Dr Ste 510
Jackson, MS 39206-3057

Mailing address

PO Box 13509
Jackson, MS 39236-3509
Phone (601) 956-4816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20231219001208 MS Practitioner - Mental Health Counselor 5496176117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4780 I 55
Suite 105
Jackson, MS 39211-5542
Phone (601) 956-4816

PO Box
Suite 13509
Jackson, MS 39236

PO Box
Suite 13509
Jackson, MS 39236-3509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
T0120MSMDMarriage & Family Therapist
0638MSMDDay Training/Habilitation Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Counseling Services, PLLC CurrentSince Oct 22, 2023 Accepting new patients
Tiffany Daniels PastSince Jun 13, 2001 Accepting new patients
Marion Counseling Services, PLLC PastSince Jun 13, 2001 Accepting new patients

Locations

460 Briarwood Dr
Ste 510
Jackson, MS 39206
Phone (601) 956-4816

4780 I 55 N
Ste 105
Jackson, MS 39211
Phone (601) 956-4816

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972631380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13509",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392363509",
            "telephone_number": "601-956-4816",
            "fax_number": "601-956-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BRIARWOOD DR STE 510",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063057",
            "telephone_number": "601-956-4816",
            "fax_number": "601-956-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "T0120",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.