MEDICARE: MARLENE DOLINAR LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	101YP2500X	Professional Counselor	E.1901219	OH
3	101Y00000X	Counselor	CV.1300626	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225586217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLENE DOLINAR LPC

Provider Business Mailing Address
First Line	:	5629 WHITEFORD RD
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-2527
Country	:	US
Telephone Number	:	419-458-3030
Fax Number	:

Provider Business Practice Location Address
First Line	:	5639 WHITEFORD RD
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-2527
Country	:	US
Telephone Number	:	419-458-3030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2016
Last Update Date	:	03/13/2026

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