Marie Celano, LCPC
Individual provider Active NPI Professional Counselor · Fulton, MD
NPI 1144635616 · NPPES record last updated Jun 24, 2014
Key facts
- NPI
- 1144635616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LC57641 (MD)
- Practice address
- 8200 Old Columbia Rd
Fulton, MD 20759-2201 - Phone
- (410) 569-9497
- Fax
- (410) 569-0094
- NPI assigned
- Jun 24, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 11, 2025 through Feb 11, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC57641 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Community Services | Past |
Accepting new patients | |
| Safe Harbor Behavioral Care, LLC | Professional | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC57641 | MD | Yes |
Addresses
Primary practice location
8200 Old Columbia Rd
Fulton, MD 20759-2201
Mailing address
2227 Old Emmorton Rd
Suite 119
Bel Air, MD 21015-6187
Phone (410) 569-9497
Other providers in Fulton, MD
- Capital Women'S Care, L.L.C.
- Capital Women'S Care, L.L.C.
- Samantha Cappuccino
- Miranda Carrillo
- Kweli Keene Carson
- Center for Brain and Neurocare LLC
- Center for Brain and Neurocare LLC
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Centrepointe Counseling
All providers in Fulton, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.