Judy Wang, LCPC, CPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5014 Issued in MD

Practice address

6800 Wisconsin Ave Ste 1051
Chevy Chase, MD 20815-6105

Phone

(240) 780-8793

NPI assigned

May 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing Hearts Counseling

  • Professional Counselor
  • Chevy Chase, MD
  • NPI 1215347786
  NPD Authorized official

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1003175381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 WISCONSIN AVE STE 1051",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156105",
            "telephone_number": "240-780-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 WISCONSIN AVE STE 1051",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156105",
            "telephone_number": "240-780-8793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 W Horizon Ridge Pkwy",
            "address_2": "Ste R # 763",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "89012",
            "country_code": "US",
            "telephone_number": "240-780-8793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JUDY",
        "name_prefix": "Ms.",
        "credential": "LCPC, CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5100-R",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Jacqueline Wallace
• Godiza Marie Wallace
• Ryan McDonald Walley, M.D.
• Ashley Tremblay Walton, PA-C
• Angela Wang
• Michael NA Wannon, PH.D.
• Carla Marie Ward, MD
• Washington Behavioral Medicine Associates, LLC
• Washington Concierge Medical Group, LLC
• Washington Eye Physicians & Surgeons, P.C.

• Professional Counselor in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.