Marina Jean Miceli, LPCC in Kent, OH - Medicare Counselor Provider

Marina Jean Miceli, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Kent, Ohio. Her current practice location is 143 Gougler Ave, Kent, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 677-4124.

Marina Jean Miceli is licensed to practice in Ohio (license number E.2203134) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043770597.

Contact Information

	Marina Jean Miceli, LPCC
	143 Gougler Ave, Kent, OH 44240-2401
	(330) 677-4124
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marina Jean Miceli
Gender	Female
Speciality	Counselor - Mental Health
Location	143 Gougler Ave, Kent, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043770597
Provider Enumeration Date: 03/21/2019
Last Update Date: 01/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9537510110
Enrollment ID: I20240108005101

Medical Identifiers

Medical identifiers for Marina Jean Miceli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043770597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	E.2203134 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Marina Jean Miceli allows following entities to bill medicare on her behalf.

Entity Name	Family & Community Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750607057 PECOS PAC ID: 1557495223 Enrollment ID: O20100817000529

Entity Name	Axesspointe Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548214935 PECOS PAC ID: 5395705545 Enrollment ID: O20170131000781

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marina Jean Miceli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Marina Jean Miceli, LPCC 143 Gougler Ave, Kent, OH 44240-2401 Ph: (330) 677-4124	Marina Jean Miceli, LPCC 143 Gougler Ave, Kent, OH 44240-2401 Ph: (330) 677-4124

Reviews and Comments

Counselor in Kent, OH

Joan Teresse Lucci, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 E Erie St Ste 304, Kent, OH 44240 Phone: 330-835-7477
Nahja Chesney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124
Ms. Mina Sakamoto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5982 Rhodes Rd, Kent, OH 44240 Phone: 330-673-1347 Fax: 330-678-3677
Mrs. Rosa J Lawson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 Martinel Dr, Kent, OH 44240 Phone: 330-307-2295
Mr. Joseph J Ziarko, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124
Phyllis Ann Vair, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 E Erie St Ste 302, Kent, OH 44240 Phone: 330-593-5959

Marina Jean Miceli, LPCC - Medicare Counselor in Kent, OH