Active NPI
Maria Theodora Oikonomou
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1962207357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC12961
- Practice address
- 55 Wade Ave
Baltimore, MD 21228-4663 - Phone
- (443) 808-0574
- NPI assigned
- Feb 18, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC12961 | MD | |
| Mental Health Counselor | 101YM0800X | LC12961 | MD | Primary |
Addresses
Primary practice location
55 Wade Ave
Baltimore, MD 21228-4663
Mailing address
55 Wade Ave
Baltimore, MD 21228-4663
Phone (443) 808-0574
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 |
|---|---|---|---|
| LC12961 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1962207357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WADE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212284663",
"telephone_number": "443-808-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WADE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212284663",
"telephone_number": "443-808-0574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OIKONOMOU",
"first_name": "MARIA THEODORA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-18",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC12961",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC12961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.