Individual provider Active NPI

Christin Rocha, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Fallston, MD
National Provider Identifier
1235501495
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCA415 Issued in MD
Practice address
1803 Harford Rd
Fallston, MD 21047-2501
Phone
(443) 299-6766
Fax
(443) 299-6668
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA415 MD Primary

Addresses

Primary practice location

1803 Harford Rd
Fallston, MD 21047-2501

Mailing address

1803 Harford Rd
Fallston, MD 21047-2501
Phone (443) 299-6766

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
LCA415MDMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1235501495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 HARFORD RD",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472501",
            "telephone_number": "443-299-6766",
            "fax_number": "443-299-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 HARFORD RD",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472501",
            "telephone_number": "443-299-6766",
            "fax_number": "443-299-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "CHRISTIN",
        "credential": "LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA415",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 28, 2015; 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.