MARK DUANE MERRICK LMFT NPI 1588174932

NPI Information

  • NPI: 1588174932
  • Provider Name: MARK DUANE MERRICK, LMFT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3238 GAZLEY RD
    MYRTLE CREEK, OR
    ZIP 97457
  • Phone: (541) 839-2220

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NPI Details

Mark Duane Merrick, LMFT is a mental health counselor in Myrtle Creek, OR. Mark Duane Merrick, LMFT NPI is 1588174932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3238 GAZLEY RD
MYRTLE CREEK, OR
ZIP 97457-419
Phone: (541) 839-2220

The enumeration date for this NPI number is 10/11/2017 and was last updated on 10/11/2017.

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
1101YM0800XCounselorMental HealthT1064OREGONYes
2101YM0800XCounselorMental HealthLMFT80920CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T1064OTHEROREGONLMFT
2LMFT80920OTHERCALIFORNIALMFT

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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