Active NPI
Vera Alice de Toledo-Powell
- Mental Health Counselor
- Havre de Grace, MD
National Provider Identifier
1205460417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10121
- Practice address
- 626 Revolution St
Havre de Grace, MD 21078-3320 - Phone
- (410) 939-8744
- NPI assigned
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 10121 | MD | Primary |
Addresses
Primary practice location
626 Revolution St
Havre de Grace, MD 21078-3320
Mailing address
104 Ironoak CT
North East, MD 21901-2663
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Vtoledo-Powell@UpperBay.org |
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 |
|---|---|---|---|
| 10121 | MD | MD | Pharmacist |
Interoperability endpoints
- vtoledo-powell@upperbay.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1205460417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 IRONOAK CT",
"city": "NORTH EAST",
"state": "MD",
"postal_code": "219012663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 REVOLUTION ST",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783320",
"telephone_number": "410-939-8744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLEDO-POWELL",
"first_name": "VERA",
"middle_name": "ALICE DE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "10121",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Vtoledo-Powell@UpperBay.org",
"affiliation": "N",
"address_1": "626 Revolution St",
"city": "Havre DE Grace",
"state": "MD",
"country_code": "US",
"postal_code": "210783320",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Havre de Grace, MD
- Tiffany Thomas, ATC, LAT
- Melissa E Thompson, LMSW
- Thrift Drug Inc (Rite Aid Pharmacy 11211)
- Tideway Dermatology, PA
- Regina Marie Toal, ANP
- Sang N. Tran, MD
- Transitional Care Unit at Harford Memorial Hospital
- Transitional Care Unit@Harford Memorial Hospital
- Rajagopala Rao Tripuraneni, M.D
- Manqian Tu, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.