NPIMap

Organization Active NPI

Trico Corporation

  • Counselor
  • Waldorf, MD
National Provider Identifier
1093796492
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
TRICO CORPORATION
Practice address
2670 Crain Highway Suite 525
Smallwood BLDG
Waldorf, MD 20601
Phone
(301) 632-2100
Fax
(301) 632-2150
NPI assigned
Nov 11, 2005
Last updated
Aug 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
William E Arick, MDIV LCPC NCC ACSNPI 1114990173
Title
President Trico Corporation
Phone
(301) 862-4961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2670 Crain Highway Suite 525
Smallwood BLDG
Waldorf, MD 20601

Mailing address

PO Box 826
Trico Corporation
Lexington Park, MD 20653-0826
Phone (301) 862-4961

National Provider Directory

National Provider Directory
Tax ID family
Trico Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2670 Crain Hwy
Ste 525
Waldorf, MD 20601
Phone (310) 632-2100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1093796492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "address_2": "TRICO CORPORATION",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206530826",
            "telephone_number": "301-862-4961",
            "fax_number": "301-373-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HIGHWAY SUITE 525",
            "address_2": "SMALLWOOD BLDG",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20601",
            "telephone_number": "301-632-2100",
            "fax_number": "301-632-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "ARICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT TRICO CORPORATION",
        "authorized_official_telephone_number": "301-862-4961",
        "authorized_official_credential": "MDIV LCPC NCC ACS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.