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MARINA JEAN MICELI LPCC
NPI 1043770597
Counselor - Professional in Kent, OH

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
143 GOUGLER AVE, KENT, OH 44240(330) 677-4124 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 13, 2024, Jun 13, 2024, Jan 6, 2023 and 1 more (4 updates tracked since 2019).

About Marina Jean Miceli Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINA JEAN MICELI LPCC (NPI 1043770597) is an individual professional provider in Kent, Ohio, licensed in Ohio (E.2203134-SUPV) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043770597
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARINA JEAN MICELICredential: LPCC
Location Address143 GOUGLER AVEKent, OH 44240-2401
Mailing Address143 Gougler AveKent, OH 44240-2401 · (330) 677-4124
Phone(330) 677-4124
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateDecember 13, 20244 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1043770597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.2203134-SUPV
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License E.2203134 (OH)
143 GOUGLER AVE, Kent, OH 44240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marina Jean Miceli Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537510110
PECOS Enrollment IDI20240108005101
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Marina Miceli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Axess Family Services Inc
Same address
Federally Qualified Health Center (FQHC)
143 GOUGLER AVE
Kent, OH 44240
  • Reassigned Medicare billing, Ohio enrollment
  • 78 clinicians in this Medicare group
NPI 1376796862 (330) 673-1016
Family & Community Services, Inc
Same address
Addiction (Substance Use Disorder)
143 GOUGLER AVENUE
Kent, OH 44240
  • Reassigned Medicare billing, Ohio enrollment
  • 41 clinicians in this Medicare group
NPI 1952662108 (330) 677-4124

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA CROSLEY CDCA
Case Manager/Care Coordinator
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 296-2384
MS. DINA MARIE DOUGLAS LISW-S
Social Worker (Clinical)
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 677-4124
NAHJA CHESNEY
Case Manager/Care Coordinator
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 677-4124
LYDIA MAE AVERY PHARMD
Pharmacist
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 785-2054
MARIA ROSATI FNP-C
Nurse Practitioner (Family)
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 673-1016
MR. JOSEPH J ZIARKO LICDC
Counselor (Addiction (Substance Use Disorder))
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 677-4124
SARAH ROBINSON LPC
Counselor (Professional)
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 677-4124
ANDREW JAMES TELSHAW
Counselor (Addiction (Substance Use Disorder))
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 673-1016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marina Miceli's NPI number?

The NPI number for Marina Miceli is 1043770597. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Marina Miceli located?

Marina Miceli practices at 143 Gougler Ave, Kent, OH 44240. The listed phone number is (330) 677-4124.

What is Marina Miceli's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Marina Miceli enrolled in Medicare?

Yes. Marina Miceli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marina Miceli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marina Miceli reassigns Medicare benefits to 2 organizations: Axess Family Services Inc (Kent, OH) and Family & Community Services, Inc (Kent, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marina Miceli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marina Miceli accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Marina Miceli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marina Miceli was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.