Individual provider Active NPI

Wendy Simmons Iglehart, LCPC

  • Professional Counselor
  • Columbia, MD
National Provider Identifier
1013018506
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1673 Issued in MD
Practice address
5525 Twin Knolls Rd
Suite 327
Columbia, MD 21045-3266
Phone
(410) 992-9149
Fax
(410) 992-9921
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC1673 MD Primary

Addresses

Primary practice location

5525 Twin Knolls Rd
Suite 327
Columbia, MD 21045-3266

Mailing address

5525 Twin Knolls Rd
Suite 327
Columbia, MD 21045-3266
Phone (410) 992-9149

Other names 1

  • Wendy Rae Simmons Former name

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
LC1673MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013018506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 TWIN KNOLLS RD",
            "address_2": "SUITE 327",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453266",
            "telephone_number": "410-992-9149",
            "fax_number": "410-992-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 TWIN KNOLLS RD",
            "address_2": "SUITE 327",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453266",
            "telephone_number": "410-992-9149",
            "fax_number": "410-992-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLEHART",
        "first_name": "WENDY",
        "middle_name": "SIMMONS",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "SIMMONS",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, 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.

Verify at the official NPI Registry.