Active NPI
Maricielo Leasure
- Mental Health Counselor
- Towson, MD
National Provider Identifier
1710873088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP16596
- Practice address
- 305 W Pennsylvania Ave
Towson, MD 21204-4413 - Phone
- (443) 300-6905
- NPI assigned
- Jun 14, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP16596 | MD | Primary |
Addresses
Primary practice location
305 W Pennsylvania Ave
Towson, MD 21204-4413
Mailing address
610 Foxcroft Dr
Bel Air, MD 21014-4433
Phone (801) 472-2434
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
| License | State | Type | Specialty |
|---|---|---|---|
| LGP16596 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marissa Block LLC | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1710873088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 FOXCROFT DR",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144433",
"telephone_number": "801-472-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W PENNSYLVANIA AVE",
"city": "TOWSON",
"state": "MD",
"postal_code": "212044413",
"telephone_number": "443-300-6905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEASURE",
"first_name": "MARICIELO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-14",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP16596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.