NPIMap

Organization Active NPI

Marissa Block LLC

Doing business as Insight Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towson, MD
National Provider Identifier
1982380440
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MARISSA BLOCK LLC
Doing business as
Insight Therapy
Practice address
200 E Joppa Rd Ste 400
Towson, MD 21286-3109
Phone
(443) 300-6905
Fax
(443) 233-0231
NPI assigned
Jun 27, 2023
Last updated
Jun 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Marissa Block Kalkstein, LCPC, MANPI 1104390012
Title
Ceo & Founder
Phone
(636) 399-6160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

200 E Joppa Rd Ste 400
Towson, MD 21286-3109

Mailing address

502 Charles Street Ave
Towson, MD 21204-4206
Phone (636) 399-6160

Other names 1

  • Insight Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marissa Block LLC2 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.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1982380440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CHARLES STREET AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044206",
            "telephone_number": "636-399-6160",
            "fax_number": "443-233-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E JOPPA RD STE 400",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863109",
            "telephone_number": "443-300-6905",
            "fax_number": "443-233-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA BLOCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "KALKSTEIN",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "BLOCK",
        "authorized_official_title_or_position": "CEO & FOUNDER",
        "authorized_official_telephone_number": "636-399-6160",
        "authorized_official_credential": "LCPC, MA"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.