Individual provider Active NPI

Christina L Mazzi, LCPC

  • Mental Health Counselor
  • Ellicott City, MD
National Provider Identifier
1053860494
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC10841 Issued in MD
Practice address
5116 Dorsey Hall Dr Ste B
Ellicott City, MD 21042-7877
Phone
(410) 995-8274
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC10841 MD Primary
Professional Counselor 101YP2500X PC009203 PA

Addresses

Primary practice location

5116 Dorsey Hall Dr Ste B
Ellicott City, MD 21042-7877

Mailing address

5116 Dorsey Hall Dr Ste B
Ellicott City, MD 21042-7877
Phone (703) 338-4516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 18, 2024 through Nov 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC10841MDMDMental Health Counselor
PC009203PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Howard County Psychological Services, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1053860494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 DORSEY HALL DR STE B",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427877",
            "telephone_number": "703-338-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 DORSEY HALL DR STE B",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427877",
            "telephone_number": "410-995-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZI",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC10841",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.