Marjorie J. Rubin, Ma, LMHC, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LH60581536 Issued in WA

Legal business name

MARJORIE J. RUBIN, MA, LMHC, PLLC

Practice address

793 Ericksen Ave NE
Suite 123-a
Bainbridge Island, WA 98110-1876

Phone

(206) 842-4898

NPI assigned

Jul 6, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Marjorie Rubin, MA, LMHXNPI 1790150027

Title

Owner/President

Phone

(206) 842-4898

Specialties & licenses 2

Addresses

Other names 1

• Bainbridge Community Counseling PLLC Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marjorie Rubin, MA, LMHC

  • Mental Health Counselor
  • Bainbridge Island, WA
  • NPI 1790150027
  NPD (past) Authorized official

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1619329356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10064",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981100064",
            "telephone_number": "206-842-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 ERICKSEN AVE NE",
            "address_2": "SUITE 123-A",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101876",
            "telephone_number": "206-842-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJORIE J. RUBIN, MA, LMHC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "206-842-4898",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMHX"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60581536",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LH60581536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bainbridge Community Counseling PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Frances R Malone, PHD
• Maloof & Wicklund PLLC
• Steven S Maloof, DDS
• Paul J Marano, PHD
• Alexis Marino, DPT
• Debra Ann Marshall, L.M.F.T.
• Livingston Pfalzgraf Martin, MD
• Jacob Matheson, DO
• Susan Matteson, LMP
• Serena B Matthews, OTR

• Marriage & Family Therapist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.