Veronica Ingrao, LCSW, LICSWLADC, CCS

Key facts

NPI

1750865739

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

LC19444 (ME)

Practice address

22 Hawthorne St # 2
Portland, ME 04103-5410

Phone

(781) 296-9309

NPI assigned

Sep 17, 2018

Sex

Female

Sole proprietor

Yes

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.

• The Rising Sun Counseling LLC Mental Health Counselor · Portland, ME · NPI 1407444706
  NPD Authorized official MENTAL HEALTH
• Central Maine Family Counseling PA Community/Behavioral Health Agency · Lewiston, ME · NPI 1003001702
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 3, 2025 through Mar 3, 2027

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 13, 2021.

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1750865739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MIDDLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014869",
            "telephone_number": "207-560-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HAWTHORNE ST # 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035410",
            "telephone_number": "781-296-9309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Richardson Ave",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "MA",
            "postal_code": "018802917",
            "country_code": "US",
            "telephone_number": "207-560-5758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAO",
        "first_name": "VERONICA",
        "credential": "LCSW, LICSWLADC, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC7015",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "123730",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC19444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Portland, ME · Mental Health Counselor in Maine