Individual provider Active NPI

Gina Marie Rassa, LCPC

  • Mental Health Counselor
  • Sykesville, MD
National Provider Identifier
1720132533
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC1765 Issued in MD
Practice address
7533 Main St
Suite 1F
Sykesville, MD 21784-7374
Phone
(410) 935-5140
Fax
(410) 970-6157
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC1765 MD
Marriage & Family Therapist 106H00000X LC1765 MD
Mental Health Counselor 101YM0800X LC1765 MD Primary

Addresses

Primary practice location

7533 Main St
Suite 1F
Sykesville, MD 21784-7374

Mailing address

7533 Main St Ste 1F
Sykesville, MD 21784-5308
Phone (410) 935-5140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 24, 2026 through Mar 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC1765MDMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1720132533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7533 MAIN ST STE 1F",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217845308",
            "telephone_number": "410-935-5140",
            "fax_number": "410-970-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7533 MAIN ST",
            "address_2": "SUITE 1F",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847374",
            "telephone_number": "410-935-5140",
            "fax_number": "410-970-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASSA",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1765",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LC1765",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC1765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sykesville, MD

Sources for this page

Verify at the official NPI Registry.