Individual provider Active NPI

Mary D. Vincitore, M.S., L.C.P.C

  • Mental Health Counselor
  • Linthicum, MD
National Provider Identifier
1376699579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC2165 Issued in MD
Practice address
107 E Maple Rd
Linthicum, MD 21090-2513
Phone
(410) 615-2387
NPI assigned
Jan 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LC2165 MD Primary

Addresses

Primary practice location

107 E Maple Rd
Linthicum, MD 21090-2513

Mailing address

456 Kingwood Rd
Linthicum, MD 21090-1922
Phone (410) 615-2387

Other identifiers 2

IdentifierTypeStateIssuer
19MVMAOtherMDCARE FIRST, BCBS
53450001OtherMDGHMSI

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
LC2165MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376699579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 KINGWOOD RD",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210901922",
            "telephone_number": "410-615-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAPLE RD",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902513",
            "telephone_number": "410-615-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCITORE",
        "first_name": "MARY",
        "middle_name": "D.",
        "credential": "M.S., L.C.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST, BCBS",
            "identifier": "19MVMA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI",
            "identifier": "53450001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.