Individual provider Active NPI

Lawrence G Iacarino

  • Mental Health Counselor
  • Millersville, MD
National Provider Identifier
1023353034
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A0216 Issued in MD
Practice address
1110 Benfield Blvd
Suite H
Millersville, MD 21108-2639
Phone
(410) 987-3448
Fax
(410) 987-4710
NPI assigned
Dec 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X A0216 MD Primary

Addresses

Primary practice location

1110 Benfield Blvd
Suite H
Millersville, MD 21108-2639

Mailing address

1110 Benfield Blvd
Suite H
Millersville, MD 21108-2639
Phone (410) 987-3448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A0216MDMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1023353034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BENFIELD BLVD",
            "address_2": "SUITE H",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082639",
            "telephone_number": "410-987-3448",
            "fax_number": "410-987-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BENFIELD BLVD",
            "address_2": "SUITE H",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082639",
            "telephone_number": "410-987-3448",
            "fax_number": "410-987-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACARINO",
        "first_name": "LAWRENCE",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-02",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "A0216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.