Marianella Castro – Professional Counselor

Key facts

NPI: 1831886274
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: LGP13588 (MD)
Practice address: 5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Phone: (510) 461-9667
NPI assigned: Apr 18, 2023
Sex: Female
Sole proprietor: Yes

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.

Flourish Counseling & Wellness Center Multi-Specialty Clinic/Center · Highland, MD · NPI 1063923498

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
LGPC200001386	DC	MD	Professional Counselor
LGP13588	MD	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Flourish Counseling & Wellness Center		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	LGPC200001386	DC
Professional Counselor	101YP2500X	LGP13588	MD	Yes

Addresses

Primary practice location

5000 Thayer Ctr Ste C
Oakland, MD 21550-1139

Mailing address

18916 Birdseye Dr
Germantown, MD 20874-1960
Phone (510) 461-9667

Other providers in Oakland, MD

All providers in Oakland, MD · Professional Counselor in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.