Individual provider Active NPI

Mary Anne M Lacour, PH.D.

  • Counseling Psychologist
  • Hockessin, DE
National Provider Identifier
1578620910
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
B1-0000566 Issued in DE
Practice address
614 Loveville Rd Ste F1A
Hockessin, DE 19707-1623
Phone
(302) 234-9447
Fax
(302) 235-8984
NPI assigned
Jan 3, 2007
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NU
Counseling Psychologist 103TC1900X B1-0000566 DE Primary

Addresses

Primary practice location

614 Loveville Rd Ste F1A
Hockessin, DE 19707-1623

Mailing address

614 Loveville Rd Ste F1A
Hockessin, DE 19707-1623
Phone (302) 234-9447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 4, 2022 through Nov 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
B1-0000566DEMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark P. Carney Psy.D. Inc Counseling CurrentSince Nov 5, 2023 Accepting new patients

Locations

614 Loveville Rd
Ste F1A
Hockessin, DE 19707
Phone (302) 234-4480

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1578620910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 LOVEVILLE RD STE F1A",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071623",
            "telephone_number": "302-234-9447",
            "fax_number": "302-234-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 LOVEVILLE RD STE F1A",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071623",
            "telephone_number": "302-234-9447",
            "fax_number": "302-235-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOUR",
        "first_name": "MARY ANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "DE",
            "license": "B1-0000566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hockessin, DE

Sources for this page

Verify at the official NPI Registry.