Active NPI
Amanda Klink Victorino, M.S., LCPC
- Counselor
- Baltimore, MD
National Provider Identifier
1134473630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1501 S. Clinton Street
CT 05-13
Baltimore, MD 21224 - Phone
- (410) 605-0875
- NPI assigned
- Nov 5, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1501 S. Clinton Street
CT 05-13
Baltimore, MD 21224
Mailing address
1501 S. Clinton Street
CT 05-13
Baltimore, MD 21224
Phone (410) 605-0875
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1134473630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S. CLINTON STREET",
"address_2": "CT 05-13",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21224",
"telephone_number": "410-605-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S. CLINTON STREET",
"address_2": "CT 05-13",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21224",
"telephone_number": "410-605-0875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTORINO",
"first_name": "AMANDA",
"middle_name": "KLINK",
"credential": "M.S., LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-05",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.