Active NPI
Nodia Marshall, M.ED., LCPC, LPC
- Professional Counselor
- Bowie, MD
National Provider Identifier
1558740365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC6789
- Practice address
- 16701 Melford Blvd Ste 400
Bowie, MD 20715-4411 - Phone
- (415) 424-4266
- Fax
- (415) 520-6633
- NPI assigned
- May 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC14502 | DC | |
| Professional Counselor | 101YP2500X | LC6789 | MD | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CACII1411 | DC |
Addresses
Primary practice location
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Mailing address
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone (415) 424-4266
Other practice location 1
10775 Pioneer Trl Ste 215
Truckee, CA 96161-0234
Phone (415) 424-4266
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111556100 | Medicaid | MD | |
| 031772085 | Medicaid | DC | |
| 60403408 | Other | DC | AMERIGROUP |
Other names 1
- Nodia Daley
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CACII1411 | DC | MD | Addiction (Substance Use Disorder) Counselor |
| PRC14502 | DC | MD | Professional Counselor |
| LC6789 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guiding Light Therapeutic Services | Mental Health | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Riverdale, MD
- NPI 1376056598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1558740365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16701 MELFORD BLVD STE 400",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154411",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16701 MELFORD BLVD STE 400",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154411",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633"
}
],
"practiceLocations": [
{
"address_1": "10775 Pioneer Trl Ste 215",
"address_purpose": "LOCATION",
"city": "Truckee",
"state": "CA",
"postal_code": "961610234",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "NODIA",
"credential": "M.ED., LCPC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC14502",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC6789",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "DC",
"license": "CACII1411",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111556100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031772085",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "60403408",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NODIA",
"last_name": "DALEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.