Individual provider Active NPI

Ma. Anna Teresa Mapa, M.S., LCPC, CSC-AD

  • Professional Counselor
  • Lansdowne, MD
National Provider Identifier
1215099395
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC2023 Issued in MD
Practice address
3902 Annapolis Rd
Lansdowne, MD 21227-2210
Phone
(410) 789-2647
Fax
(410) 789-8364
NPI assigned
Dec 14, 2006
Last updated
Apr 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC2023 MD
Addiction (Substance Use Disorder) Counselor 101YA0400X SC1314 MD
Mental Health Counselor 101YM0800X LC2023 MD
Pastoral Counselor 101YP1600X NU
Professional Counselor 101YP2500X LC2023 MD Primary

Addresses

Primary practice location

3902 Annapolis Rd
Lansdowne, MD 21227-2210

Mailing address

800 Ingleside Ave
Catonsville, MD 21228-1722
Phone (410) 744-4661

Other identifiers 1

IdentifierTypeStateIssuer
292519MedicaidMD

Other names 1

  • Manette Mapa Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SC1314MDMDAddiction (Substance Use Disorder) Counselor
LC2023MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1215099395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 INGLESIDE AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281722",
            "telephone_number": "410-744-4661",
            "fax_number": "410-744-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 ANNAPOLIS RD",
            "city": "LANSDOWNE",
            "state": "MD",
            "postal_code": "212272210",
            "telephone_number": "410-789-2647",
            "fax_number": "410-789-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPA",
        "first_name": "MA. ANNA",
        "middle_name": "TERESA",
        "credential": "M.S., LCPC, CSC-AD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC2023",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "SC1314",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2023",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292519",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANETTE",
            "last_name": "MAPA",
            "credential": "M.S., LCPC, CSC-AD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lansdowne, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.