Tara Pistorio, LCPC, CAC-AD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC9296 Issued in MD

Practice address

8600 Lasalle Rd.
Carroll Building, Suite 212
Towson, MD 21286-2128

Phone

(410) 773-0500

NPI assigned

Dec 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1760087837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRAMBLE LN",
            "city": "CHURCHVILLE",
            "state": "MD",
            "postal_code": "210281505",
            "telephone_number": "410-207-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 LASALLE RD.",
            "address_2": "CARROLL BUILDING, SUITE 212",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862128",
            "telephone_number": "410-773-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISTORIO",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "LCPC, CAC-AD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "AC1649",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC9296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ralph E Piper, PH.D.
• Josephina Jenkins Abrahams Pisano, LMSW
• Laravia Pittman
• Adeline Smith Pizzala, CCC-SLP
• Diane Pickel Plappert, CRNP-PMH
• Tyri Playfair-Deacon, LMSW
• Plot Points Career Counseling, LLC

• Mental Health Counselor in Towson, MD
• Providers in Towson, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.