MARCELL KING CDCA NPI 1629451968

NPI Information

NPI: 1629451968
Provider Name: MARCELL KING, CDCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
809 W VINE ST
LIMA, OH
ZIP 45804
Phone: (419) 222-4474
Get Directions

Marcell King, CDCA is an addiction (substance use disorder) counselor in Lima, OH. Marcell King, CDCA NPI is 1629451968. 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:

809 W VINE ST
LIMA, OH
ZIP 45804-054
Phone: (419) 222-4474
Fax: (419) 222-7044

The enumeration date for this NPI number is 7/6/2015 and was last updated on 7/8/2015.

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	251B00000X	Case Management		1629451968	OHIO	No
2	101Y00000X	Counselor		1629451968	OHIO	No
3	171M00000X	Case Manager/Care Coordinator		1629451968	OHIO	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1629451968	OHIO	Yes

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
1	1629451968	MEDICARE UPIN	OHIO
2	1629451968	MEDICARE PIN	OHIO
3	1629451968	MEDICAID	OHIO
4	1629451968	MEDICARE NSC	OHIO
5	1629451968	MEDICARE OSCAR/CERTIFICATION	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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