Active NPI
Anna K. Soisson, LCPC, CSC-AD
- Counselor
- Severna Park, MD
National Provider Identifier
1992807648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LC1275
- Practice address
- 650 Ritchie Hwy
Suite 207
Severna Park, MD 21146-3916 - Phone
- (410) 315-9350
- NPI assigned
- Sep 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LC1275 | MD | Primary |
Addresses
Primary practice location
650 Ritchie Hwy
Suite 207
Severna Park, MD 21146-3916
Mailing address
6552 Tinker Round
Columbia, MD 21045-4640
Phone (410) 290-5665
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 |
|---|---|---|---|
| LC1275 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992807648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6552 TINKER ROUND",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210454640",
"telephone_number": "410-290-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 RITCHIE HWY",
"address_2": "SUITE 207",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463916",
"telephone_number": "410-315-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOISSON",
"first_name": "ANNA",
"middle_name": "K.",
"name_prefix": "Ms.",
"credential": "LCPC, CSC-AD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LC1275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.