Individual provider Active NPI

Deborah Maiorano, LPC

  • Professional Counselor
  • Martinsburg, WV
National Provider Identifier
1184609828
Registry record updated Dec 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1742 Issued in WV
Practice address
115 Aikens Ctr Ste 18B
Martinsburg, WV 25404-6210
Phone
(304) 533-6135
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 197 DE
Professional Counselor 101YP2500X PC0000270 DE
Professional Counselor 101YP2500X 1742 WV Primary

Addresses

Primary practice location

115 Aikens Ctr Ste 18B
Martinsburg, WV 25404-6210

Mailing address

PO Box 177
Bunker Hill, WV 25413-0177
Phone (304) 533-6135

Other identifiers 2

IdentifierTypeStateIssuer
1742OtherWVLPC
PC0000270OtherDELPCMH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240227001455 WV Practitioner - Mental Health Counselor 5294730461 Practice locations: Martinsburg, WV

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 Aikens Ctr
Suite 18B
Martinsburg, WV 25404-6210
Phone (304) 533-6135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
197DEMDAddiction (Substance Use Disorder) Counselor
PC0000270DEMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1184609828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "BUNKER HILL",
            "state": "WV",
            "postal_code": "254130177",
            "telephone_number": "304-533-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 AIKENS CTR STE 18B",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254046210",
            "telephone_number": "304-533-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIORANO",
        "first_name": "DEBORAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "197",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC0000270",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "1742",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPCMH",
            "identifier": "PC0000270",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.