Marian H Vanbronkhorst, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC0167 Issued in MD

Practice address

19000 Sousa Way
Montgomery Village, MD 20886-3142

Phone

(301) 330-3373

Fax

(301) 330-0405

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marian Heasley Vanbronkhorst Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760578470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 SOUSA WAY",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863142",
            "telephone_number": "301-330-3373",
            "fax_number": "301-330-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 SOUSA WAY",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863142",
            "telephone_number": "301-330-3373",
            "fax_number": "301-330-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBRONKHORST",
        "first_name": "MARIAN",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC0167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "LC0167",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAN",
            "last_name": "VANBRONKHORST",
            "middle_name": "HEASLEY",
            "credential": "M.S. IN P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Montgomery Village, MD
• Providers in Montgomery Village, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.