Individual provider Active NPI

Jennifer Mallery Marski

  • Professional Counselor
  • Nottingham, MD
National Provider Identifier
1073193850
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP11367 Issued in MD
Practice address
7939 Honeygo Blvd Ste 224
Nottingham, MD 21236-5992
Phone
(410) 933-3700
Fax
(410) 933-9200
NPI assigned
Apr 14, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP11367 MD Primary

Addresses

Primary practice location

7939 Honeygo Blvd Ste 224
Nottingham, MD 21236-5992

Mailing address

952 Blue Fox Way
Arnold, MD 21012-1860
Phone (443) 618-1051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP11367MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Counceling Center Inc CurrentSince Apr 20, 2021 Accepting new patients

Locations

7939 Honeygo Blvd
Ste 224
Nottingham, MD 21236
Phone (410) 933-3700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1073193850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 BLUE FOX WAY",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121860",
            "telephone_number": "443-618-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7939 HONEYGO BLVD STE 224",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365992",
            "telephone_number": "410-933-3700",
            "fax_number": "410-933-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSKI",
        "first_name": "JENNIFER",
        "middle_name": "MALLERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP11367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.