Individual provider Active NPI

Brianne Nolan, LCPC

  • Professional Counselor
  • Millersville, MD
National Provider Identifier
1871061366
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC10538 Issued in MD
Practice address
8258 Veterans Hwy Ste 13
Millersville, MD 21108-1564
Phone
(410) 768-6088
Fax
(410) 768-6444
NPI assigned
Nov 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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 LC10538 MD Primary

Addresses

Primary practice location

8258 Veterans Hwy Ste 13
Millersville, MD 21108-1564

Mailing address

8258 Veterans Hwy Ste 13
Millersville, MD 21108-1564
Phone (410) 768-6088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202000203 MD Practitioner - Mental Health Counselor 4284087529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marissa Block LLCGroup PAC ID 2769894963, 12 clinicians

Practice addresses (Care Compare)

200 E Joppa Rd
Suite 400
Towson, MD 21286-3109
Phone (443) 300-6905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC10538MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marissa Block LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Marissa Block LLC PastSince Jul 2, 2023 Accepting new patients

Locations

200 E Joppa Rd
Ste 400
Towson, MD 21286
Phone (443) 300-6905

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": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1871061366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8258 VETERANS HWY STE 13",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081564",
            "telephone_number": "410-768-6088",
            "fax_number": "410-768-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8258 VETERANS HWY STE 13",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081564",
            "telephone_number": "410-768-6088",
            "fax_number": "410-768-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "BRIANNE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC10538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

Verify at the official NPI Registry.