Active NPI
Marissa Simone Nelson, LGMFT
- Marriage & Family Therapist
- Washington, DC
National Provider Identifier
1922409150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LGM508
- Practice address
- 1724 20TH St NW
Suite 102
Washington, DC 20009-1342 - Phone
- (202) 374-7448
- NPI assigned
- Sep 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LGM508 | MD | Primary |
Addresses
Primary practice location
1724 20TH St NW
Suite 102
Washington, DC 20009-1342
Mailing address
1724 20TH St NW
Suite 102
Washington, DC 20009
Phone (202) 374-7448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGM508 | MD | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1922409150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 20TH ST NW",
"address_2": "SUITE 102",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20009",
"telephone_number": "202-374-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 20TH ST NW",
"address_2": "SUITE 102",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200091342",
"telephone_number": "202-374-7448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MARISSA",
"middle_name": "SIMONE",
"credential": "LGMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MD",
"license": "LGM508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.