Progressive Therapeutic Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC2141 Issued in MD

Legal business name

PROGRESSIVE THERAPEUTIC SERVICES

Practice address

4409 Forbes Blvd
Suite B
Lanham, MD 20706-4373

Phone

(301) 648-4151

NPI assigned

Jul 3, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wayne Terrence Marshall, LCPCNPI 1477591287

Title

President

Phone

(301) 648-4151

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wayne T Marshall, LCPC

  • Professional Counselor
  • Bowie, MD
  • NPI 1477591287
  Authorized official Same address or phone

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1457559395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 FORBES BLVD",
            "address_2": "SUITE B",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064373",
            "telephone_number": "301-648-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 FORBES BLVD",
            "address_2": "SUITE B",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064373",
            "telephone_number": "301-648-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "TERRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-648-4151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lanham, MD
• Providers in Lanham, 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 Nov 1, 2007; 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.