Active NPI
Anne Marie Porretti, LCPC
- Mental Health Counselor
- Fallston, MD
National Provider Identifier
1194964494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCO232
- Practice address
- 2303 Belair Road
Ste B
Fallston, MD 21047-2104 - Phone
- (410) 497-5173
- NPI assigned
- Feb 10, 2009
- Last updated
- Dec 3, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCO232 | MD | Primary |
Addresses
Primary practice location
2303 Belair Road
Ste B
Fallston, MD 21047-2104
Mailing address
7000 Golden Ring Road
Unit 9564
Rosedale, MD 21237
Phone (410) 497-5173
Other practice location 1
1303 Continental Drive
Ste 101
Abington, MD 21009
Phone (410) 497-5173
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311823751 | Other | MD | TAX ID |
| 1003848490 | Other | MD | NPI |
| 1013196120 | Other | MD | GROUP NTI |
| 201965602 | Other | MD | TAX ID |
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 |
|---|---|---|---|
| LCO232 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1194964494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 GOLDEN RING ROAD",
"address_2": "UNIT 9564",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "21237",
"telephone_number": "410-497-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 BELAIR ROAD",
"address_2": "STE B",
"city": "FALLSTON",
"state": "MD",
"postal_code": "210472104",
"telephone_number": "410-497-5173"
}
],
"practiceLocations": [
{
"address_1": "1303 Continental Drive",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Abington",
"state": "MD",
"postal_code": "21009",
"country_code": "US",
"telephone_number": "410-497-5173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORRETTI",
"first_name": "ANNE MARIE",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-10",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LCO232",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "311823751",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1003848490",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NTI",
"identifier": "1013196120",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "201965602",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fallston, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.