Active NPI
Catherine Kondo Amibang, HHA
- Counselor
- Burtonsville, MD
National Provider Identifier
1497008338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2016
- Practice address
- 3707 Berleigh Hill CT
Burtonsville, MD 20866-1391 - Phone
- (240) 468-6033
- Fax
- (301) 558-6014
- NPI assigned
- Oct 16, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2016 | DC | Primary |
Addresses
Primary practice location
3707 Berleigh Hill CT
Burtonsville, MD 20866-1391
Mailing address
3707 Berleigh Hill CT
Burtonsville, MD 20866-1391
Phone (240) 468-6033
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 |
|---|---|---|---|
| 2016 | DC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497008338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 BERLEIGH HILL CT",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661391",
"telephone_number": "240-468-6033",
"fax_number": "301-558-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 BERLEIGH HILL CT",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661391",
"telephone_number": "240-468-6033",
"fax_number": "301-558-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIBANG",
"first_name": "CATHERINE",
"middle_name": "KONDO",
"name_prefix": "Mrs.",
"credential": "HHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "DC",
"license": "2016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burtonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.