MARILYN HARTLINE


Address: 1515 Indianola Ave, Columbus, OH 43201-2118
Phone: 6142942661

MARILYN HARTLINE (NPI# 1629124318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629124318
Entity Type Individual
Full Name MARILYN HARTLINE
Credential L.I.S.W.
Practice Address 1515 Indianola Ave
Columbus
OH 43201-2118
Mailing Address 3282 Kilwinning Pl
Columbus
OH 43221-4447
Practice Telephone 6142942661
Mailing Telephone 6147717815
Enumeration Date 2007-01-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
831051 OH Behavioral Health & Social Service Providers
X 106H00000X Marriage & Family Therapist F . 0000078 OH Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
I 0001152 OH Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH MARRIAGE & FAMILY THERAPI F . 0000078 01
OH CHEMICAL DEPENDENCY PROFE 831051 01

Office Location

Street Address 1515 INDIANOLA AVE
City COLUMBUS
State OH
Zip Code 43201-2118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750352290 James E Ramage Social Worker 1515 Indianola Ave, Columbus, OH 43201-2118 2006-02-01
1689281008 Elizabeth Popadak Social Worker 1515 Indianola Ave, Columbus, OH 43201-2118 2020-09-29
1942814447 Artajiah D Jones Case Manager/Care Coordinator 1515 Indianola Ave, Columbus, OH 43201-2118 2020-09-02
1639783152 Rachel Kousaie Case Manager/Care Coordinator 1515 Indianola Ave, Columbus, OH 43201-2118 2020-09-02
1356953558 Ladan Jama Case Manager/Care Coordinator 1515 Indianola Ave, Columbus, OH 43201-2118 2020-08-19
1104435502 Payton Runyan Case Manager/Care Coordinator 1515 Indianola Ave, Columbus, OH 43201-2118 2020-07-31
1679105761 Julia Meeker Student in an Organized Health Care Education/Training Program 1515 Indianola Ave, Columbus, OH 43201-2118 2020-02-07
1396385100 Joclyn Cabanas Case Manager/Care Coordinator 1515 Indianola Ave, Columbus, OH 43201-2118 2020-01-09
1225678022 Madison Redd Case Manager/Care Coordinator 1515 Indianola Ave, Columbus, OH 43201-2118 2020-01-09
1881238467 Morgan Novack Case Manager/Care Coordinator 1515 Indianola Ave, Columbus, OH 43201-2118 2019-11-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629618814 Chequtra Dauer May Licensed Practical Nurse 819 Leona Ave, Columbus, OH 43201 2020-01-15
1528551769 Amelia Carpenter Physical Therapist 1433 Neil Ave Apt B, Columbus, OH 43201 2018-06-12
1962901942 Makoto Asahara Counselor 1301 N High Street, Columbus, OH 43201 2018-02-06
1740739366 Nicholas Baggett Nurse Practitioner 1301 North High Street, North Central Mental Health Services, Columbus, OH 43201 2016-09-23
1679930259 Morgan Staten Specialist/Technologist 1620 N 4th St, Columbus, OH 43201 2016-01-27
1376976050 Robert William Sweeney Jr. Specialist/Technologist 535 Irving Schottenstein Drive, Woody Hayes Athletic Center, Columbus, OH 43201 2013-08-16
1447453428 Mary Anne Brown Home Health Aide 144 E. Woodruff Ave., Apt. J, Columbus, OH 43201 2007-06-07
1962623405 Rachel Marie Mautz Student in an Organized Health Care Education/Training Program 150 W 10th Avenue, Columbus, OH 43201 2007-05-01
1649390964 Richard Andrew Mitsak Psychiatry & Neurology 1640 Neil Ave, Room 438, Columbus, OH 43201 2007-03-30
1700925419 Jeffrey Smith Preventive Medicine 505 King Avenue, Columbus, OH 43201 2007-02-06
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1710593736 Lisa Rooker Counselor 3197 E Dublin Granville Rd, Columbus, OH 43231-4035 2020-09-16
1679184089 Amy Danielle Styron Counselor 770 Golding Rd, Columbus, MS 39702-7866 2020-08-11
1700495934 Meghan Craig Counselor 3600 Oakstone Drive, Columbus, OH 43231 2020-07-23
1417575416 Chris Burton Counselor 1017 3rd St, Columbus, IN 47201-6870 2020-07-07
1841811270 Tera Shevon Wise Counselor 1390 Dublin Rd, Columbus, OH 43215-1009 2020-04-27
1699303669 Killian Counseling LLC Counselor 2700 E Main St Ste 106, Columbus, OH 43209-2536 2020-03-27
1366076853 Lukas Planck Counselor 2984 Cortona Rd, Columbus, OH 43204-3601 2020-02-24
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Competitor

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City COLUMBUS
Zip Code 43201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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