JUDITH MARINICH PCC LICDC NPI 1760403232

NPI Information

NPI: 1760403232
Provider Name: JUDITH MARINICH, PCC, LICDC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
38039 W SPAULDING ST
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 918-1806
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Judith Marinich, PCC, LICDC is a mental health counselor in Willoughby, OH with 26 years of experience. Judith Marinich, PCC, LICDC NPI is 1760403232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

38039 W SPAULDING ST
WILLOUGHBY, OH
ZIP 44094-110
Phone: (440) 918-1806
Fax: (440) 918-1807

The NPI 1760403232 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 7/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	981392	OHIO	No
2	104100000X	Social Worker		S-0017842	OHIO	No
3	101YM0800X	Counselor	Mental Health	E-0003813	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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