Marcia Wolfinger
NPI 1225570658 · Mental Health Counselor · Frederick, MD
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marcia Wolfinger is a Mental Health Counselor provider in Frederick, MD (NPI 1225570658).
Provider details
- NPI number
- 1225570658
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LC7482 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
99 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 1 Hour90837 | 56 | $114 |
| Psychiatric Diagnostic Evaluation90791 | 25 | $128 |
| Psychotherapy, 45 Minutes90834 | 18 | $77 |
Typical Medicare-allowed amounts for these services range $77–$128 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 400 W 7th StFrederick, MD 21701-4506Phone: (240) 566-3990Fax: (240) 439-8910
- 112 E Main StThurmont, MD 21788-2008Phone: (301) 631-1304Fax: (301) 631-1384
Registry dates
- Enumerated
- 2016-11-16
- Last updated
- 2019-07-30
Frequently asked questions
- What is Marcia Wolfinger's NPI number?
- Marcia Wolfinger's National Provider Identifier (NPI) is 1225570658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marcia Wolfinger's specialty?
- Marcia Wolfinger is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Marcia Wolfinger located?
- Marcia Wolfinger's practice location on file with NPPES is 7211 Bank Ct, Frederick, MD 21703-8483.
- What is Marcia Wolfinger's phone number?
- The practice phone number listed in the NPPES registry for Marcia Wolfinger is (240) 566-7830.
- Does Marcia Wolfinger accept Medicare?
- Marcia Wolfinger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marcia Wolfinger's NPI active?
- Yes — Marcia Wolfinger's NPI (1225570658) is active in the NPPES registry as of the last update on 2019-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.