MARINA J. VENDRILLO M.S. LPCA CRC NPI 1255862405

NPI Information

  • NPI: 1255862405
  • Provider Name: MARINA J. VENDRILLO, M.S., LPCA, CRC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 7654 RIVERVIEW KNOLL CT
    CLEMMONS, NC
    ZIP 27012
  • Phone: (336) 413-6607

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NPI Details

Marina J. Vendrillo, M.S., LPCA, CRC is a counselor in Clemmons, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Marina J. Vendrillo, M.S., LPCA, CRC NPI is 1255862405. 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:

7654 RIVERVIEW KNOLL CT
CLEMMONS, NC
ZIP 27012-725
Phone: (336) 413-6607

The enumeration date for this NPI number is 3/21/2017 and was last updated on 3/21/2017.

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
1225C00000XRehabilitation Counselor00117504NORTH CAROLINANo
2101Y00000XCounselorA10753NORTH CAROLINAYes

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: 11/21/2025

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