Individual provider Active NPI

Merrilee Peske, LMFT

  • Marriage & Family Therapist
  • Pikesville, MD
National Provider Identifier
1285076612
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCM646 Issued in MD
Practice address
104 Church LN Ste 101
Pikesville, MD 21208-3839
Phone
(410) 343-9756
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717001263 VA
Marriage & Family Therapist 106H00000X LCM646 MD Primary

Addresses

Primary practice location

104 Church LN Ste 101
Pikesville, MD 21208-3839

Mailing address

104 Church LN Ste 101
Pikesville, MD 21208-3839
Phone (410) 343-9756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231129000353 MD Practitioner - Marriage and Family Therapist 8527416718 Reassigns benefits to 1 organization
I20231129000483 DC Practitioner - Marriage and Family Therapist 8527416718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychcare Psychological Services LLCGroup PAC ID 2264660133, 19 clinicians

Practice addresses (Care Compare)

104 Church LN
Suite 101And102
Baltimore, MD 21208-3786
Phone (410) 343-9756

12501 Prosperity Dr
Suite 310
Silver Spring, MD 20904-1699
Phone (410) 343-9756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCM646MDMDMarriage & Family Therapist
0717001263VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychcare Psychological Services, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

6325 Woodside Ct
Ste 350
Columbia, MD 21046
Phone 41034397569

104 Church Ln
Ste 101102
Pikesville, MD 21208
Phone (410) 343-9756

104 Church Ln
Ste 101
Pikesville, MD 21208
Phone (410) 343-9756

12501 Prosperity Dr
Ste 310
Silver Spring, MD 20904
Phone (240) 780-8884

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1285076612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHURCH LN STE 101",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083839",
            "telephone_number": "410-343-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHURCH LN STE 101",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083839",
            "telephone_number": "410-343-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESKE",
        "first_name": "MERRILEE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001263",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.