Active NPI
David Edward Marion, PH.D.
- Professional Counselor
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0638
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| T0120 | MS | MD | Marriage & Family Therapist |
| 0638 | MS | MD | Day Training/Habilitation Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Counseling Services, PLLC | Current | Accepting new patients | |
| Tiffany Daniels | Past | Accepting new patients | |
| Marion Counseling Services, PLLC | Past | 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.
-
- Community/Behavioral Health Agency
- Jackson, MS
- NPI 1720326473
-
- Mental Health Counselor
- Jackson, MS
- NPI 1013429042
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MS
- NPI 1265814420
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.