MARISSA MIARS LGPC
NPI 1194498816
Counselor - Mental Health in Nottingham, MD

Q: What is Marissa Miars's NPI number?

The NPI number for Marissa Miars is 1194498816. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Q: What is Marissa Miars's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Marissa Miars enrolled in Medicare?

No. Marissa Miars has opted out of Medicare through April 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Marissa Miars was last updated on July 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 28, 2021Opted out of Medicare · through Apr 11, 2028

5022 CAMPBELL BLVD # 4969, NOTTINGHAM, MD 21236(443) 442-1568 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Marissa Miars Lgpc NPPES

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

MARISSA MIARS LGPC (NPI 1194498816) is an individual mental health provider in Nottingham, Maryland, licensed in Maryland (LGP11736) and active in the NPI registry since July 2021. She has opted out of Medicare through April 11, 2028.

NPPES Registry Identity

NPI1194498816

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARISSA MIARSCredential: LGPC

Location Address5022 CAMPBELL BLVD # 4969Nottingham, MD 21236-4969

Mailing Address1413 Race StBaltimore, MD 21230-4412 · (269) 303-2130

Phone(443) 442-1568

Sole ProprietorNo

Enumeration DateJuly 28, 2021

NPPES CertifiedJuly 28, 2021

✔ NPI 1194498816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MD · LGP11736

5022 CAMPBELL BLVD # 4969, Nottingham, MD 21236

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Marissa Miars Lgpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 11, 2024 through April 11, 2028.

Opt-Out Effective DateApril 11, 2024

Opt-Out In Effect ThroughApril 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

KATHERINE M WILL LMSW

Social Worker