Active NPI
Marianna Jeanne Patente, LCPC
- Counselor
- Waldorf, MD
National Provider Identifier
1720150741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LC1126
- Practice address
- 2670 Crain Highway
Suite #401
Waldorf, MD 20601 - Phone
- (301) 704-5611
- NPI assigned
- Nov 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LC1126 | MD | Primary |
| Counselor | 101Y00000X | 0701003222 | VA |
Addresses
Primary practice location
2670 Crain Highway
Suite #401
Waldorf, MD 20601
Mailing address
2670 Crain Highway
Suite #401
Waldorf, MD 20601
Phone (301) 704-5611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0070001 | Other | BCBS CARE FIRST | |
| 177237 | Other | ANTHEM |
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 |
|---|---|---|---|
| LC1126 | MD | MD | Counselor |
| 0701003222 | VA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720150741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 CRAIN HIGHWAY",
"address_2": "SUITE #401",
"city": "WALDORF",
"state": "MD",
"postal_code": "20601",
"telephone_number": "301-704-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 CRAIN HIGHWAY",
"address_2": "SUITE #401",
"city": "WALDORF",
"state": "MD",
"postal_code": "20601",
"telephone_number": "301-704-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATENTE",
"first_name": "MARIANNA",
"middle_name": "JEANNE",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LC1126",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701003222",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CARE FIRST",
"identifier": "F0070001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "177237",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, 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.