Jean-Marie Marhefka Roddy, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC2183 Issued in MD

Practice address

100 West Rd Ste 300
Towson, MD 21204-2370

Phone

(410) 656-9416

NPI assigned

Oct 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jean-Marie Leak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 17, 2024 through Feb 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1376722389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 NAYGALL RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212341335",
            "telephone_number": "434-473-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042370",
            "telephone_number": "410-656-9416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9041 Naygall Rd",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MD",
            "postal_code": "212341335",
            "country_code": "US",
            "telephone_number": "434-473-2332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5820 York Rd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212123619",
            "country_code": "US",
            "telephone_number": "410-656-9416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Ridgely Rd Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Timonium",
            "state": "MD",
            "postal_code": "210935124",
            "country_code": "US",
            "telephone_number": "443-367-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODDY",
        "first_name": "JEAN-MARIE",
        "middle_name": "MARHEFKA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2183",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012579200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN-MARIE",
            "last_name": "LEAK",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caitlin Marie Robison, R.D.
• Ellen Robison, O.T.
• Jonathan J Roca, PHYSICAL THERAPIST
• Cristen Roche
• Libby Beth Rochlen, CCC-SLP
• Elizabeth S. Rodrigues, MS, LCPC
• Christina Ann Evans Rodriguez, LGSW
• Melissa Rodriguez, PHARMD
• Natalie Rodriguez
• Katelyn M Roe, MS, OTR/L, HPCS

• Professional Counselor in Towson, MD
• Providers in Towson, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.