Active NPI
Theresa Prymuszewski, MA, MTS, LPC, NCC
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1326269606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC0736
- Practice address
- 1020 Eastway
Baltimore, MD 21210-2024 - Phone
- (410) 433-8861
- Fax
- (410) 433-1249
- NPI assigned
- May 2, 2007
- Last updated
- Oct 11, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5336 | NC | |
| Professional Counselor | 101YP2500X | 6401007712 | MI | |
| Professional Counselor | 101YP2500X | 00498 | NU | |
| Professional Counselor | 101YP2500X | LC0736 | MD | Primary |
Addresses
Primary practice location
1020 Eastway
Baltimore, MD 21210-2024
Mailing address
5407 N Charles St
Baltimore, MD 21210-2024
Phone (410) 433-8861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401007712 | MI | MD | Professional Counselor |
| 5336 | NC | MD | Professional Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1326269606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5407 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102024",
"telephone_number": "410-433-8861",
"fax_number": "410-433-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 EASTWAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102024",
"telephone_number": "410-433-8861",
"fax_number": "410-433-1249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYMUSZEWSKI",
"first_name": "THERESA",
"credential": "MA, MTS, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2023-10-11",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5336",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401007712",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": "00498",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC0736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.