MRS. MARIE BURGESS LGPC
NPI 1861056574
Counselor - Professional in Mount Airy, MD

Active since April 28, 2019Opted out of Medicare · through Jan 13, 2027
106 E RIDGEVILLE BLVD STE 4, MOUNT AIRY, MD 21771(301) 710-9532 Get Directions Write a Review

NPPES record last updated: April 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Marie Burgess Lgpc NPPES

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

MRS. MARIE BURGESS LGPC (NPI 1861056574) is an individual professional provider in Mount Airy, Maryland, licensed in Maryland (LGP9085) and active in the NPI registry since April 2019. She has opted out of Medicare through January 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861056574
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MARIE BURGESSCredential: LGPC
Location Address106 E RIDGEVILLE BLVD STE 4Mount Airy, MD 21771-5248
Mailing Address106 E Ridgeville Blvd Ste 4Mount Airy, MD 21771-5248 · (301) 710-9532
Sole ProprietorNo
Enumeration DateApril 28, 2019
NPI 1861056574 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 · LGP9085
106 E RIDGEVILLE BLVD STE 4, Mount Airy, MD 21771

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Marie Burgess 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 January 13, 2025 through January 13, 2027.

Opt-Out Effective DateJanuary 13, 2025
Opt-Out In Effect ThroughJanuary 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
106 E RIDGEVILLE BLVD STE 4
MOUNT AIRY, MD 21771
Counselor (Mental Health)
106 E RIDGEVILLE BLVD STE 4
MOUNT AIRY, MD 21771

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 Marie Burgess's NPI number?

The NPI number for Marie Burgess is 1861056574. It was assigned to this individual provider in the NPPES registry on April 28, 2019.

Where is Marie Burgess located?

Marie Burgess practices at 106 E Ridgeville Blvd Ste 4, Mount Airy, MD 21771. The listed phone number is (301) 710-9532.

What is Marie Burgess's specialty?

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

Is Marie Burgess enrolled in Medicare?

No. Marie Burgess has opted out of Medicare through January 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Marie Burgess was last updated on April 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.