NPIMap

Organization Active NPI

MRB Counseling Services, Inc.

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1871728030
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11362 Issued in MD
Legal business name
MRB COUNSELING SERVICES, INC.
Practice address
317 E Diamond Ave
Suite C
Gaithersburg, MD 20877-3093
Phone
(301) 527-0854
Fax
(240) 243-1061
NPI assigned
May 18, 2009
Last updated
Feb 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Dr. Maria Rosa Bustos, PH.D
Title
President
Phone
(301) 512-0663

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA368 MD
Professional Counselor 101YP2500X LC1437 MD
Clinical Psychologist 103TC0700X 903540 MD
Clinical Social Worker 1041C0700X 11362 MD Primary

Addresses

Primary practice location

317 E Diamond Ave
Suite C
Gaithersburg, MD 20877-3093

Mailing address

317 E Diamond Ave
Suite C
Gaithersburg, MD 20877-3093
Phone (301) 527-0854

National Provider Directory

National Provider Directory
Tax ID family
MRB Counseling Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1871728030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E DIAMOND AVE",
            "address_2": "SUITE C",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773093",
            "telephone_number": "301-527-0854",
            "fax_number": "240-243-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E DIAMOND AVE",
            "address_2": "SUITE C",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773093",
            "telephone_number": "301-527-0854",
            "fax_number": "240-243-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRB COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "BUSTOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-512-0663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA368",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1437",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "903540",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.