Michael Thomas Marshall, LPC
Counselor in Jackson, MI. Individual provider (NPI-1).
NPI number1700829900
StatusActive
Last updated in NPPESJun 20, 2025
Details
- NPI
- 1700829900
- Entity type
- Individual (NPI-1)
- Name
- Michael Thomas Marshall
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2006
- Certification date
- Jun 20, 2025
- Last updated
- Jun 20, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 6401006358 | MI | Yes |
| 101YM0800X | Counselor, Mental Health | 6401006358 | MI | |
| 101YP2500X | Counselor, Professional | 6401006358 | MI | |
| 104100000X | Social Worker | 6802059251 | MI |
Practice location
205 N East AveJackson, MI 49201-1753
Phone 517-789-5971 · Fax 517-789-5718
Mailing address
1 Ford Pl Ste 3aDetroit, MI 48202-3450
Phone 313-874-4806 · Fax 313-876-1305
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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