Individual provider Active NPI

Todd W Stanzione, L.C.P.C

  • Professional Counselor
  • Rosedale, MD
National Provider Identifier
1972816387
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3545 Issued in MD
Practice address
6918 Ridge Rd
Rosedale, MD 21237-3854
Phone
(443) 442-1568
Fax
(443) 442-1569
NPI assigned
Jul 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3545 MD Primary

Addresses

Primary practice location

6918 Ridge Rd
Rosedale, MD 21237-3854

Mailing address

424 Cornwall St
Baltimore, MD 21224-2712
Phone (301) 667-0296

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

LicenseStateTypeSpecialty
LC3545MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1972816387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CORNWALL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242712",
            "telephone_number": "301-667-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 RIDGE RD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373854",
            "telephone_number": "443-442-1568",
            "fax_number": "443-442-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANZIONE",
        "first_name": "TODD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "L.C.P.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.