Active NPI
Marrisha Wimbush, LCPC
- Professional Counselor
- Rosedale, MD
National Provider Identifier
1174083471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC7520
- Practice address
- 9627 Philadelphia Rd Ste 160
Rosedale, MD 21237-4157 - Phone
- (410) 780-5203
- NPI assigned
- Mar 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC7520 | MD | Primary |
Addresses
Primary practice location
9627 Philadelphia Rd Ste 160
Rosedale, MD 21237-4157
Mailing address
1426 E Federal St
Baltimore, MD 21213-2809
Phone (443) 916-0988
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1426 E Federal St
Baltimore, MD 21213-2809
9627 Philadelphia Rd
Suite 160
Rosedale, MD 21237-4154
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC7520 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1174083471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 E FEDERAL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212132809",
"telephone_number": "443-916-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9627 PHILADELPHIA RD STE 160",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212374157",
"telephone_number": "410-780-5203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIMBUSH",
"first_name": "MARRISHA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC7520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.