Marie S Nazzaro, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LCPC2711 Issued in MD

Practice address

21770 FDR Blvd
Lexington Park, MD 20653-1558

Phone

(301) 997-1300

Fax

(301) 866-9189

NPI assigned

May 3, 2007

Last updated

Nov 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Andrew T Gergely, MD and Associates, LLCGroup PAC ID 1456323237, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Andrew T Gergely, MD & Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dunkirk, MD
  • NPI 1033134341
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1215159512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21770 FDR BLVD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531558",
            "telephone_number": "301-997-1300",
            "fax_number": "301-866-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21770 FDR BLVD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531558",
            "telephone_number": "301-997-1300",
            "fax_number": "301-866-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZZARO",
        "first_name": "MARIE",
        "middle_name": "S",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LCPC2711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58956180",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Mullins
• Clara E Musser, LCSW-C
• Emery Myers
• Myeyedr Optometry of Maryland, LLC (MyEyeDr.)
• Ying Xin Narine, OD
• VI Nguyen
• NP Family Practice
• James Willard Nutter, EDD
• Deborah A O'Donnell, PHD
• Jamachi Orji, DMD

• Counselor in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.

Verify at the official NPI Registry.