Individual provider Active NPI

Marilyn Jane Rumsey, LCSW, LPC, LMFT

  • Clinical Social Worker
  • Galveston, TX
National Provider Identifier
1396079067
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07284 Issued in TX
Practice address
17723 San Luis Pass Rd
Galveston, TX 77554-8614
Phone
(940) 696-6483
Fax
(425) 940-1622
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1264-1000 TX
Professional Counselor 101YP2500X 1165 TX
Clinical Social Worker 1041C0700X 07284 TX Primary
Marriage & Family Therapist 106H00000X 2191 TX

Addresses

Primary practice location

17723 San Luis Pass Rd
Galveston, TX 77554-8614

Mailing address

17723 San Luis Pass Rd
Galveston, TX 77554-8614
Phone (940) 696-6483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1264-1000TXMDAddiction (Substance Use Disorder) Counselor
1165TXMDProfessional Counselor
07284TXMDClinical Social Worker
2191TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1396079067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17723 SAN LUIS PASS RD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775548614",
            "telephone_number": "940-696-6483",
            "fax_number": "426-940-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17723 SAN LUIS PASS RD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775548614",
            "telephone_number": "940-696-6483",
            "fax_number": "425-940-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMSEY",
        "first_name": "MARILYN",
        "middle_name": "JANE",
        "credential": "LCSW, LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "1264-1000",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "1165",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "07284",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "2191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.