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Deactivated NPI 1770189292 Deactivated / Inactive NPI Male Practitioner

Raymond James Marshall , LPCC, CDCA

Counselor • Mentor, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Raymond Marshall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 09, 2020
NPI Deactivation Date July 09, 2021
Total Practice Duration ~1 Years of Practice (2020 – 2021)

Professional Overview & Biography Verified Profile Summary

Raymond Marshall, LPCC, CDCA was a registered Counselor practicing in Mentor, OH. Throughout an active medical career spanning 1 years, Raymond Marshall provided care at the practice location at 7232 JUSTIN WAY until profile deactivation on 2021-07-09.

Practice Location & Contact Primary Location

Practice Address

7232 Justin Way

Mentor, OH 440604881

Telephone 4405788200
Associated Practice Facility / Clinic
🏢 Signature Health Inc. Facility NPI 1184170136

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Mentor, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
113 Specialists

Practicing in Mentor, OH (4163 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-27
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH E.2303445

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License OH C.1902027-TRNE

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License OH C.2003057

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0432665 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Tiffany Jones , MD

Psychiatry & Neurology - Psychiatry

NPI 1003082413

Doctor of Medicine (M.D.)

Ashley Focht

Counselor

NPI 1003329079
Fatimaah Fullilove , LSW, LICDC

Social Worker - Clinical

NPI 1003329228

Licensed Social Worker, LICDC

NPI 1003420076

Licensed Professional Clinical Counselor

NPI 1003420738
Clotilda Raymond

Social Worker

NPI 1003436825

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Business Mailing Address May 27, 2023

Registered at 339 E 329TH ST, WILLOWICK, OH 440953228 (Tel: 4407962570)

👤
Provider Name / Credentials Updated May 27, 2023

Recorded as RAYMOND MARSHALL, LPCC, CDCA

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2023

Counselor (License #C.1902027-TRNE in OH)

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Updated Practice Location September 01, 2021

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

📍
Updated Business Mailing Address September 01, 2021

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

👤
Provider Name / Credentials Updated September 01, 2021

Recorded as RAYMOND MARSHALL, LPC, CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2021

Counselor (License #C.2003057 in OH)

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NPI Profile Deactivated July 09, 2021

Record deactivated on July 09, 2021

📍
Updated Practice Location February 28, 2021

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

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Updated Business Mailing Address February 28, 2021

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

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Provider Name / Credentials Updated January 04, 2021

Recorded as RAYMOND MARSHALL, LPC, CDCA

NPI Profile Active December 09, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2020

Registered at 30841 EUCLID AVE, WILLOUGHBY, OH 440943100 (Tel: 4405160281)

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Updated Business Mailing Address December 09, 2020

Registered at 30841 EUCLID AVE, WILLOUGHBY, OH 440943100 (Tel: 4405160281)

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Provider Name / Credentials Updated December 09, 2020

Recorded as RAYMOND MARSHALL, CT, CDCA

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2020

Counselor (License #C.1902027-TRNE in OH)

🟢
Initial NPI Registration & Enumeration December 09, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770189292
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2020
Last Update: May 27, 2023
Deactivation Date: July 09, 2021
Sole Proprietor: Yes

Mailing Address

339 E 329th St

Willowick, OH 440953228

Phone: 4407962570

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.