NPIMap

Individual provider Active NPI

Anil L Chirayath, LCPC

  • Counselor
  • Essex, MD
National Provider Identifier
1104181205
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC4398 Issued in MD
Practice address
621 Stemmers Run Rd Ste E
Essex, MD 21221-3386
Phone
(410) 574-2500
Fax
(410) 574-4478
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC4398 MD Primary

Addresses

Primary practice location

621 Stemmers Run Rd Ste E
Essex, MD 21221-3386

Mailing address

1040 Park Ave Ste 103
Baltimore, MD 21201-5633
Phone (410) 837-3977

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
LC4398MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Friends Research Institute, Inc. Past Accepting new patients
Friends Research Institute, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1104181205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 PARK AVE STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015633",
            "telephone_number": "410-837-3977",
            "fax_number": "410-752-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 STEMMERS RUN RD STE E",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213386",
            "telephone_number": "410-574-2500",
            "fax_number": "410-574-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRAYATH",
        "first_name": "ANIL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC4398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.