Kyra N Vuolo, LGPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP9875 Issued in MD

Practice address

1600 Crain Hwy S Ste 503
Glen Burnie, MD 21061-6443

Phone

(443) 354-1200

Fax

(410) 553-0019

NPI assigned

Sep 12, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1124678040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 503",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616443",
            "telephone_number": "443-354-1200",
            "fax_number": "410-553-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 503",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616443",
            "telephone_number": "443-354-1200",
            "fax_number": "410-553-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUOLO",
        "first_name": "KYRA",
        "middle_name": "N",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP9875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kvuolo@mymentalhealthclinic.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1600 Crain Hwy S Ste 503",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210616443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.