Maria Roncalli, MS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

645 N Walnut St
Bloomington, IN 47404-3846

Phone

(812) 336-3570

Fax

(812) 336-9010

NPI assigned

Aug 12, 2015

Last updated

Aug 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Storey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Amethyst House

  • Clinical Social Worker
  • Bloomington, IN
  • NPI 1053744474
  NPD (past)
• Amethyst House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Bloomington, IN
  • NPI 1770709230
  NPD (past)
• Overcomers Counseling

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1568016038
  NPD (past)

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1578939641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474020011",
            "telephone_number": "812-336-3570",
            "fax_number": "812-336-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043846",
            "telephone_number": "812-336-3570",
            "fax_number": "812-336-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONCALLI",
        "first_name": "MARIA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "STOREY",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wygonda Kay Rogers, NP
• Jasmine Rollins
• Jessica Roman, RD
• Bethany Anne Romashov, LMHC
• Yesenia Noemi Romo, H.A.D
• Roo Home Care LLC (Paid.care)
• Rooted ABA LLC
• Rose Internal Medicine, P.C.
• Charles Howard Rose, MD
• Marabai Rose, LCSW

• Counselor in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.