Provider Demographics
NPI:1013057793
Name:AYOROA, KARI A (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:A
Last Name:AYOROA
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12705 WATERTOWN CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-1098
Mailing Address - Country:US
Mailing Address - Phone:859-583-4672
Mailing Address - Fax:
Practice Address - Street 1:12705 WATERTOWN CT
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-1098
Practice Address - Country:US
Practice Address - Phone:859-583-4672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1277101YM0800X
KY0823101YP2500X
KY104540101YP2500X
VA0701010124101YP2500X
MDLC12288101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY30615058Medicaid
KY3383Medicaid