Individual provider Active NPI

Andrea Dilorenzo, LGPC

  • Mental Health Counselor
  • Gaithersburg, MD
National Provider Identifier
1316282775
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP4130 Issued in MD
Practice address
610 E Diamond Ave
Suite 100
Gaithersburg, MD 20877-5323
Phone
(301) 840-3200
Fax
(301) 840-1348
NPI assigned
Dec 11, 2012
Last updated
Dec 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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 LGP4130 MD Primary

Addresses

Primary practice location

610 E Diamond Ave
Suite 100
Gaithersburg, MD 20877-5323

Mailing address

610 E Diamond Ave
Suite 100
Gaithersburg, MD 20877-5323
Phone (301) 840-3200

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
LGP4130MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1316282775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E DIAMOND AVE",
            "address_2": "SUITE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208775323",
            "telephone_number": "301-840-3200",
            "fax_number": "301-840-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E DIAMOND AVE",
            "address_2": "SUITE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208775323",
            "telephone_number": "301-840-3200",
            "fax_number": "301-840-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILORENZO",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP4130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.