NPIMap

Organization Active NPI

Multicultural Counseling & Consulting Center, LLC

  • Mental Health Counselor
  • Beltsville, MD
National Provider Identifier
1972874618
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC3487 Issued in MD
Legal business name
MULTICULTURAL COUNSELING & CONSULTING CENTER, LLC
Practice address
5010 Sunnyside Ave Ste 309
Beltsville, MD 20705-2320
Phone
(301) 474-0060
Fax
(301) 474-0068
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dr. Marie Fonrose, PH.D.NPI 1578839353
Title
Owner/Director
Phone
(240) 533-5784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LC3487 MD Primary

Addresses

Primary practice location

5010 Sunnyside Ave Ste 309
Beltsville, MD 20705-2320

Mailing address

5010 Sunnyside Ave Ste 309
Beltsville, MD 20705-2320
Phone (301) 474-0060

Other identifiers 1

IdentifierTypeStateIssuer
036798200MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Multicultural Counseling Consulting Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1972874618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 SUNNYSIDE AVE STE 309",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052320",
            "telephone_number": "301-474-0060",
            "fax_number": "301-474-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 SUNNYSIDE AVE STE 309",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052320",
            "telephone_number": "301-474-0060",
            "fax_number": "301-474-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICULTURAL COUNSELING & CONSULTING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "FONROSE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "240-533-5784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC3487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036798200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.