Individual provider Active NPI

Amy Victoria Maranto, MS, LGPC

  • Mental Health Counselor
  • Columbia, MD
National Provider Identifier
1720696214
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP10633 Issued in MD
Practice address
6440 Dobbin Rd Ste D
Columbia, MD 21045-4770
Phone
(410) 730-2385
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP10633 MD Primary

Addresses

Primary practice location

6440 Dobbin Rd Ste D
Columbia, MD 21045-4770

Mailing address

1826 Yakona Rd
Parkville, MD 21234-3615
Phone (443) 695-6184

Other identifiers 1

IdentifierTypeStateIssuer
LGP10633MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mpbhealth.com

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LGP10633MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MPB Group Inc CurrentSince Mar 5, 2023 Accepting new patients
MPB Group Inc PastSince Aug 2, 2020 Accepting new patients

Locations

6440 Dobbin Rd
Ste D
Columbia, MD 21045
Phone (410) 673-4313

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1720696214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 YAKONA RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343615",
            "telephone_number": "443-695-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 DOBBIN RD STE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454770",
            "telephone_number": "410-730-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANTO",
        "first_name": "AMY",
        "middle_name": "VICTORIA",
        "credential": "MS, LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP10633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LGP10633",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mpbhealth.com",
            "affiliation": "N",
            "address_1": "6440 Dobbin Rd Ste D",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210454770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.