Individual provider Active NPI

Andre Papantonio, LCPC

  • Mental Health Counselor
  • Towson, MD
National Provider Identifier
1205073277
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC0359 Issued in MD
Practice address
6525 N Charles St
Towson, MD 21204-6872
Phone
(410) 825-1257
Fax
(410) 825-7105
NPI assigned
Jan 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC0359 MD Primary

Addresses

Primary practice location

6525 N Charles St
Towson, MD 21204-6872

Mailing address

1100 Hollins LN
Baltimore, MD 21209-2208
Phone (410) 337-0791

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

LicenseStateTypeSpecialty
LC0359MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1205073277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HOLLINS LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092208",
            "telephone_number": "410-337-0791",
            "fax_number": "410-825-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046872",
            "telephone_number": "410-825-1257",
            "fax_number": "410-825-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPANTONIO",
        "first_name": "ANDRE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC0359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.