Individual provider Active NPI

Marlee Jane Bardenett, LCPC, LPC

  • Mental Health Counselor
  • Frederick, MD
National Provider Identifier
1871149658
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC10183 Issued in MD
Practice address
3534 Urbana Pike Ste C
Frederick, MD 21704-7786
Phone
(301) 304-7108
NPI assigned
Aug 16, 2019
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC10183 MD Primary
Mental Health Counselor 101YM0800X 0701008409 VA

Addresses

Primary practice location

3534 Urbana Pike Ste C
Frederick, MD 21704-7786

Mailing address

124 N Court St
Frederick, MD 21701-6614
Phone (301) 304-7108

Other names 1

  • Ms. Marlee Jane Burroughs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 23, 2024 through Sep 23, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC10183MDMDMental Health Counselor
0701008409VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1871149658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N COURT ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016614",
            "telephone_number": "301-304-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 URBANA PIKE STE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047786",
            "telephone_number": "301-304-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDENETT",
        "first_name": "MARLEE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LCPC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC10183",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701008409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLEE",
            "last_name": "BURROUGHS",
            "middle_name": "JANE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.