Malgorzata Nussbaum, MFT, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCM665 Issued in MD

Practice address

2018 Rock Spring Rd Ste A6
Forest Hill, MD 21050-2631

Phone

(410) 838-2493

Fax

(410) 838-2597

NPI assigned

Feb 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Malgorzata Wurinari Former name

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": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1346789500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 ROCK SPRING RD STE A6",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502631",
            "telephone_number": "410-838-2493",
            "fax_number": "410-838-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 ROCK SPRING RD STE A6",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502631",
            "telephone_number": "410-838-2493",
            "fax_number": "410-838-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "MALGORZATA",
        "credential": "MFT, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0000244",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001347",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LCM665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALGORZATA",
            "last_name": "WURINARI",
            "credential": "MFT, LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dessa Myles
• Aly Mohamed Fathy Naguib, M.D.
• Mackenzie Nalepa, PT, DPT
• National Rehabilitation Hospital, Inc (MedStar Health Physical Therapy @ Forest Hill)
• Erin Neal
• Francisca Catherine Nwaigwe
• Nkechi Okoro, NP
• Olajumoke Olaomi
• Rebecca Joy Olaughlin
• Andrea Maureen Ortolani

• Mental Health Counselor in Forest Hill, MD
• Providers in Forest Hill, 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 May 15, 2020; 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.