Active NPI
Mary Anne Clairmont
- Professional Counselor
- Plymouth Meeting, PA
National Provider Identifier
1891258760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC010141
- Practice address
- 3127 Colony LN
Plymouth Meeting, PA 19462-1928 - Phone
- (610) 405-5320
- NPI assigned
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN000274 | PA | |
| Professional Counselor | 101YP2500X | PC010141 | PA | Primary |
Addresses
Primary practice location
3127 Colony LN
Plymouth Meeting, PA 19462-1928
Mailing address
3127 Colony LN
Plymouth Meeting, PA 19462-1928
Phone (610) 405-5320
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 |
|---|---|---|---|
| PC010141 | PA | MD | Professional Counselor |
| DN000274 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1891258760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3127 COLONY LN",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621928",
"telephone_number": "610-405-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3127 COLONY LN",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621928",
"telephone_number": "610-405-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAIRMONT",
"first_name": "MARY ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN000274",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC010141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.