Marie Fonrose, PH.D.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LC3487 Issued in MD

Practice address

5010 Sunnyside Ave Ste 309
Beltsville, MD 20705-2320

Phone

(301) 474-0060

Fax

(301) 474-0068

NPI assigned

Mar 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Multicultural Counseling & Consulting Center, LLC

  • Preferred Provider Organization
  • Beltsville, MD
  • NPI 1063730349
  NPD (past) Authorized official
• Multicultural Counseling & Consulting Center, LLC

  • Mental Health Counselor
  • Beltsville, MD
  • NPI 1972874618
  NPD (past) Authorized official

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1578839353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 SUNNYSIDE AVE STE 309",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052320",
            "telephone_number": "301-474-0060",
            "fax_number": "301-474-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 SUNNYSIDE AVE STE 309",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052320",
            "telephone_number": "301-474-0060",
            "fax_number": "301-474-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONROSE",
        "first_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC3487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036798200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Floyd
• Achu Fon
• Fri Nwei Fon I, HHA
• Marie Therese Nshumebong Fonchenela
• Melvis Fonloni
• Food 4 Maryland
• Salome B Forcha
• Scarlett Ford
• Patrice Forrester
• Kayla Forsythe

• Counselor in Beltsville, MD
• Providers in Beltsville, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.