Individual provider Active NPI

Stephanie Babb Marinelli, PHD, JD

  • Pastoral Counselor
  • Ellicott City, MD
National Provider Identifier
1518198159
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
LC3183 Issued in MD
Practice address
2904 Excelsior Springs CT
Ellicott City, MD 21042-7614
Phone
(410) 262-9662
NPI assigned
Jul 30, 2009
Last updated
Jul 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X LC3183 MD Primary

Addresses

Primary practice location

2904 Excelsior Springs CT
Ellicott City, MD 21042-7614

Mailing address

2904 Excelsior Springs CT.
Ellicott City, MD 21042
Phone (410) 262-9662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240619000217 MD Practitioner - Mental Health Counselor 4486197498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Safe Harbor Behavioral Care LLCGroup PAC ID 0345514675, 81 clinicians

Practice addresses (Care Compare)

5054 Dorsey Hall Dr
Suite 105
Ellicott City, MD 21042-7795
Phone (410) 893-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Care, LLC Pastoral CurrentSince Apr 1, 2024 Accepting new patients

Locations

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

8975 Guilford Rd
Ste 170
Columbia, MD 21046
Phone (443) 453-7727

5054 Dorsey Hall Dr
Ste 105
Ellicott City, MD 21042
Phone (410) 730-0122

Organizations & group practices 1

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": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1518198159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 EXCELSIOR SPRINGS CT.",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21042",
            "telephone_number": "410-262-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 EXCELSIOR SPRINGS CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427614",
            "telephone_number": "410-262-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINELLI",
        "first_name": "STEPHANIE",
        "middle_name": "BABB",
        "name_prefix": "Dr.",
        "credential": "PHD, JD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "LC3183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.