CAROLINE VIEIRA MARINO
NPI 1255816708
Counselor - Mental Health in Nampa, ID

Active since October 01, 2018Opted out of Medicare · through Jan 12, 2028
112 9TH AVE S STE B4, NAMPA, ID 83651(208) 261-1076(208) 586-5120 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 8, 2024, Jan 4, 2024, Sep 29, 2021 and 1 more (4 updates tracked since 2018).

About Caroline Vieira Marino NPPES

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

CAROLINE VIEIRA MARINO (NPI 1255816708) is an individual mental health provider in Nampa, Idaho, licensed in Idaho (LCPC-10031) and active in the NPI registry since October 2018. She has opted out of Medicare through January 12, 2028.

NPPES Registry Identity

NPI1255816708
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAROLINE VIEIRA MARINO
Location Address112 9TH AVE S STE B4Nampa, ID 83651-3825
Mailing Address2872 S Pine Flats WayMeridian, ID 83642-9140 · (310) 210-1664
Fax(208) 586-5120
Sole ProprietorYes
Enumeration DateOctober 1, 2018
Last NPPES UpdateMarch 8, 20244 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
NPI 1255816708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in ID · LCPC-10031 Licensed in ID · LPC-6977
112 9TH AVE S STE B4, Nampa, ID 83651

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Caroline Vieira Marino has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 12, 2024 through January 12, 2028.

Opt-Out Effective DateJanuary 12, 2024
Opt-Out In Effect ThroughJanuary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
112 9TH AVE S STE B4
NAMPA, ID 83651

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255816708, enumerated as an "individual" on October 01, 2018.

The provider is located at 112 9TH AVE S STE B4 NAMPA, ID 83651 and the phone number is (208) 261-1076.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.