Vanessa Alexandra Mateo, LGPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP15759 Issued in MD

Practice address

5820 York Rd
Baltimore, MD 21212-3610

Phone

(301) 345-1022

Fax

(301) 560-5558

NPI assigned

Oct 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1164244471
  NPD

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1083436380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W 7TH ST STE 500",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217018512",
            "telephone_number": "301-345-1022",
            "fax_number": "301-560-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123610",
            "telephone_number": "301-345-1022",
            "fax_number": "301-560-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 W 7th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217018512",
            "country_code": "US",
            "telephone_number": "301-345-1022",
            "fax_number": "301-560-5558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATEO",
        "first_name": "VANESSA",
        "middle_name": "ALEXANDRA",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP15759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dany Youssef Matar, BA
• Daniel Stevens Matasic
• Fatimah Mateen
• Dulce Mateo-Burgos, LCSW-C
• Abigail Mateo
• Joshua D Materi
• Elizabeth F. Matesa, P.A.
• Nedelijko Matesic
• Matthew Mathai
• Stephen Carl Mathai, MD MHS

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.