Individual provider Active NPI

Marissa Leigh Lloyd, LPCMH

  • Professional Counselor
  • Dover, DE
National Provider Identifier
1740736842
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC-0000769 Issued in DE
Practice address
103 Mont Blanc Blvd
Dover, DE 19904-7615
Phone
(302) 678-3020
Fax
(302) 678-2458
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC-0000769 DE Primary

Addresses

Primary practice location

103 Mont Blanc Blvd
Dover, DE 19904-7615

Mailing address

103 Mont Blanc Blvd
Dover, DE 19904-7615
Phone (302) 678-3020

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

LicenseStateTypeSpecialty
PC-0000769DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Kids Child & Family Therapy Current Accepting new patients
Delaware Guidance Services for Children & Youth, Inc. PastSince Mar 4, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1740736842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MONT BLANC BLVD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047615",
            "telephone_number": "302-678-3020",
            "fax_number": "302-678-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MONT BLANC BLVD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047615",
            "telephone_number": "302-678-3020",
            "fax_number": "302-678-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "MARISSA",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "LPCMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0000769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.