Tanisha Mason, LPC, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC2298 Issued in MD

Practice address

1604 Robert Lewis Ave
Upper Marlboro, MD 20774-5654

Phone

(301) 651-4517

NPI assigned

Jun 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1205287844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 ROBERT LEWIS AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745654",
            "telephone_number": "301-651-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 ROBERT LEWIS AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745654",
            "telephone_number": "301-651-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "TANISHA",
        "credential": "LPC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2298",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC13923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masebeh Victorine Allo Maseh
• Gideon Masembe, CSW
• Karen Tonya Mason, MD
• Lillian Mason
• Tamara Lynn Mason, LCPC, LPC
• Miatta Umu Massaley
• Kai Massiah
• Master Potter Inc.
• Master Services, Inc.
• Masterpiece Behavioral Health Solution, LLC

• Mental Health Counselor in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.