Individual provider Active NPI

Merlene J. Blair-Brown, LCMFT

  • Marriage & Family Therapist
  • Owings Mills, MD
National Provider Identifier
1487601639
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCM190 Issued in MD
Practice address
20 Pleasant Ridge Dr Ste B
Owings Mills, MD 21117-2560
Phone
(410) 902-5940
Fax
(410) 902-5941
NPI assigned
May 30, 2006
Last updated
Aug 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LCM190 MD Primary

Addresses

Primary practice location

20 Pleasant Ridge Dr Ste B
Owings Mills, MD 21117-2560

Mailing address

20 Pleasant Ridge Dr Ste B
Owings Mills, MD 21117-2560
Phone (410) 902-5940

Other practice location 1

10451 Mill Run Cir
Ste 400
Owings Mills, MD 21117-5577
Phone (410) 356-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCM190MDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Thusong CurrentSince Aug 25, 2019 Accepting new patients

Locations

20 Pleasant Ridge Dr
Ste B
Owings Mills, MD 21117
Phone (410) 902-5940

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1487601639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PLEASANT RIDGE DR STE B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172560",
            "telephone_number": "410-902-5940",
            "fax_number": "410-025-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PLEASANT RIDGE DR STE B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172560",
            "telephone_number": "410-902-5940",
            "fax_number": "410-902-5941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10451 Mill Run Cir",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175577",
            "country_code": "US",
            "telephone_number": "410-356-8818",
            "fax_number": "410-356-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR-BROWN",
        "first_name": "MERLENE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.