MARISSA BLOCK KALKSTEIN MA, LCPC
NPI 1104390012
Counselor - Professional in Towson, MD

Active since January 14, 2019PECOS Enrolled
200 E JOPPA RD STE 400, TOWSON, MD 21286(410) 828-0101(410) 828-6262 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2023, Jan 14, 2019 (2 updates tracked since 2019).

About Marissa Block Kalkstein Ma, Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA BLOCK KALKSTEIN MA, LCPC (NPI 1104390012) is an individual professional provider in Towson, Maryland, licensed in Maryland (LC10425) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104390012
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISSA BLOCK KALKSTEINCredential: MA, LCPC
Location Address200 E JOPPA RD STE 400Towson, MD 21286-3109
Mailing Address502 Charles Street AveTowson, MD 21204-4206 · (636) 399-6160 · Fax (443) 233-0231
Fax(410) 828-6262
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 14, 2019
Last NPPES UpdateJune 14, 20232 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
NPI 1104390012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LC10425
200 E JOPPA RD STE 400, Towson, MD 21286

Other Identifiers 1

OtherLGP8630MD · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marissa Block Kalkstein Ma, Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587076799
PECOS Enrollment IDI20251126001777
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
200 E JOPPA RD STE 400
TOWSON, MD 21286
Counselor (Professional)
200 E JOPPA RD STE 400
TOWSON, MD 21286
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 E JOPPA RD STE 400
TOWSON, MD 21286

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Kalkstein's NPI number?

The NPI number for Marissa Kalkstein is 1104390012. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Where is Marissa Kalkstein located?

Marissa Kalkstein practices at 200 E Joppa Rd Ste 400, Towson, MD 21286. The listed phone number is (410) 828-0101.

What is Marissa Kalkstein's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Marissa Kalkstein enrolled in Medicare?

Yes. Marissa Kalkstein is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Kalkstein was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.