Active NPI
Mary Claire Raveia, LCPC
- Professional Counselor
- Bel Air, MD
National Provider Identifier
1114271350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC4532
- Practice address
- 806 Briergreen CT
Bel Air, MD 21015-8435 - Phone
- (909) 225-0340
- Fax
- (240) 964-8586
- NPI assigned
- Nov 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC4532 | MD | Primary |
Addresses
Primary practice location
806 Briergreen CT
Bel Air, MD 21015-8435
Mailing address
806 Briergreen CT
Bel Air, MD 21015-8435
Phone (909) 225-0340
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC4532 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1114271350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 BRIERGREEN CT",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210158435",
"telephone_number": "909-225-0340",
"fax_number": "240-964-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 BRIERGREEN CT",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210158435",
"telephone_number": "909-225-0340",
"fax_number": "240-964-8586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVEIA",
"first_name": "MARY",
"middle_name": "CLAIRE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.