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

Q: 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.

Q: What is Marina Miceli's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marina Miceli was last updated on December 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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 CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

MISS CARA LYNN MICHALAK M.ED, LPC-CR

Counselor (Mental Health)