Kari A Ayoroa, LPCC
Individual provider Active NPI Professional Counselor · Potomac, MD
NPI 1013057793 · NPPES record last updated Mar 28, 2022
Key facts
- NPI
- 1013057793
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LC12288 (MD)
- Practice address
- 12705 Watertown CT
Potomac, MD 20854-1098 - Phone
- (859) 583-4672
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1277 | KY | MD | Mental Health Counselor |
| 0823 | KY | MD | Professional Counselor |
| 104540 | KY | MD | Professional Counselor |
| LC12288 | MD | MD | Professional Counselor |
| 0701010124 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Counseling Center, LLC | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1277 | KY | |
| Professional Counselor | 101YP2500X | 0823 | KY | |
| Professional Counselor | 101YP2500X | 104540 | KY | |
| Professional Counselor | 101YP2500X | 0701010124 | VA | |
| Professional Counselor | 101YP2500X | LC12288 | MD | Yes |
Addresses
Primary practice location
12705 Watertown CT
Potomac, MD 20854-1098
Mailing address
12705 Watertown CT
Potomac, MD 20854-1098
Phone (859) 583-4672
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30615058 | Medicaid | KY | |
| 3383 | Medicaid | KY |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.