Michael Vires, LGPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LGP12753 Issued in MD

Practice address

2205 Warwick Way Ste 100
Marriottsville, MD 21104-1631

Phone

(240) 883-6847

NPI assigned

Jul 18, 2022

Sex

Male

Sole proprietor

Yes

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.

• Supportive Care of Maryland LLC

  • Psychologist
  • Riverdale, MD
  • NPI 1447802616

  DC, MD

  Medicare reassignment Care Compare group NPD

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supportive Care of Maryland LLC 38 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2022.

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1154056836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17711 GLOBE THEATRE DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321676",
            "telephone_number": "301-706-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 WARWICK WAY STE 100",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041631",
            "telephone_number": "240-883-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRES",
        "first_name": "MICHAEL",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP12753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Talentino, ATC
• Kelsey Tindall
• Jeffrey Alan Torockio, P.T.
• Trinity Resources Group, Inc.
• Roza Tsimberg, DPT
• Annemarie Wagener, SPEECH-LANGUAGE PATH
• Waverly Internal Medicine, LLC
• Waverly Woods Aesthetic Dental
• Karyn Yates, PA-C
• Ann Catherine Zinger, DDS

• All providers in Marriottsville, MD
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.