Individual provider Active NPI

Jose E Marmol, M.S

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1972784569
Registry record updated Nov 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9380 SW 72ND St
Suite B-120
Miami, FL 33173-3276
Phone
(305) 274-3172
NPI assigned
Nov 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X FL Primary

Addresses

Primary practice location

9380 SW 72ND St
Suite B-120
Miami, FL 33173-3276

Mailing address

11090 SW 155TH PL
Miami, FL 33196-2762
Phone (305) 383-0641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1195862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195862400000",
    "number": "1972784569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11090 SW 155TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962762",
            "telephone_number": "305-383-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 SW 72ND ST",
            "address_2": "SUITE B-120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733276",
            "telephone_number": "305-274-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMOL",
        "first_name": "JOSE",
        "middle_name": "E",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-24",
        "last_updated": "2007-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2007; 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.