Active NPI
Melissa D. Marshall, LLC.
- Mental Health Counselor
- Reisterstown, MD
National Provider Identifier
1386229276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MELISSA D. MARSHALL, LLC.
- Practice address
- 55 Main Street
Reisterstown, MD 21136 - Phone
- (443) 904-2142
- NPI assigned
- Mar 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melissa Marshall, PHD, LCPC
- Title
- Owner
- Phone
- (443) 904-2142
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
55 Main Street
Reisterstown, MD 21136
Mailing address
5713 Narcissus Ave
Baltimore, MD 21215-3551
Phone (443) 904-2142
Other names 1
- MDM, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1689224347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615507200000",
"number": "1386229276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5713 NARCISSUS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153551",
"telephone_number": "443-904-2142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MAIN STREET",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "21136",
"telephone_number": "443-904-2142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELISSA D. MARSHALL, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-12",
"last_updated": "2021-03-12",
"certification_date": "2021-02-22",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-904-2142",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MDM, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.