Tina Maczis, LGPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LC12082 Issued in MD

Practice address

1777 Reisterstown Rd
Pikesville, MD 21208-1380

Phone

(410) 395-4085

NPI assigned

Feb 8, 2020

Last updated

Oct 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Likewise Licensed Therapy LLC

  • Counselor
  • Baltimore, MD
  • NPI 1780464180
  NPD Authorized official
• MPB Group Inc

  • Community/Behavioral Health Agency
  • Bowie, MD
  • NPI 1407200017
  NPD (past)
• MPB Group Inc

  • Community/Behavioral Health Agency
  • Columbia, MD
  • NPI 1649473026
  NPD (past)

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1598397416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W 27TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212113001",
            "telephone_number": "240-285-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081380",
            "telephone_number": "410-395-4085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 W 27th St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212113001",
            "country_code": "US",
            "telephone_number": "240-285-1875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACZIS",
        "first_name": "TINA",
        "name_prefix": "Ms.",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-08",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "ATG276",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC12082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lyons, BCBA
• Alexander Maas
• Corrin Elizabeth Maccrehan
• Janice Mace, LCSW-C
• Alexis Mack
• Denise Lavern Madden
• Morena Madden, RN
• David H. Madoff, M.D., PH.D.
• Asia Madric
• Eileen Mager, PH.D.

• Counselor in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.