Individual provider Active NPI

Ana Milena Olaciregui, LCPC

  • Mental Health Counselor
  • Silver Spring, MD
National Provider Identifier
1992984520
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC2059 Issued in MD
Practice address
11207A Lockwood Dr
Silver Spring, MD 20901-4550
Phone
(301) 518-2705
Fax
(301) 622-3050
NPI assigned
Oct 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC2059 MD Primary

Addresses

Primary practice location

11207A Lockwood Dr
Silver Spring, MD 20901-4550

Mailing address

11207A Lockwood Dr
Administration
Silver Spring, MD 20901-4550
Phone (301) 518-2705

Other identifiers 1

IdentifierTypeStateIssuer
LC2059MedicaidMD

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
LC2059MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1992984520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11207A LOCKWOOD DR",
            "address_2": "ADMINISTRATION",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014550",
            "telephone_number": "301-518-2705",
            "fax_number": "301-622-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11207A LOCKWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014550",
            "telephone_number": "301-518-2705",
            "fax_number": "301-622-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLACIREGUI",
        "first_name": "ANA",
        "middle_name": "MILENA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LC2059",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.