Active NPI
John Wirth, MS, PHD
- Mental Health Counselor
- Annapolis, MD
National Provider Identifier
1013422849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC7065
- Practice address
- 102 Old Solomons Island Rd Ste 202
Annapolis, MD 21401-3879 - Phone
- (410) 266-3058
- NPI assigned
- Dec 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10123 | FL | |
| Mental Health Counselor | 101YM0800X | LC7065 | MD | Primary |
Addresses
Primary practice location
102 Old Solomons Island Rd Ste 202
Annapolis, MD 21401-3879
Mailing address
102 Old Solomons Island Rd Ste 202
Annapolis, MD 21401-3879
Phone (410) 266-3058
Other practice location 1
900 S US Highway 1 Ste 101
Jupiter, FL 33477-6468
Phone (561) 891-0772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 7, 2025 through Jul 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH10123 | FL | MD | Mental Health Counselor |
| LC7065 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Christian Counseling | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1013422849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 OLD SOLOMONS ISLAND RD STE 202",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013879",
"telephone_number": "410-266-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 OLD SOLOMONS ISLAND RD STE 202",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013879",
"telephone_number": "410-266-3058"
}
],
"practiceLocations": [
{
"address_1": "900 S US Highway 1 Ste 101",
"address_purpose": "LOCATION",
"city": "Jupiter",
"state": "FL",
"postal_code": "334776468",
"country_code": "US",
"telephone_number": "561-891-0772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIRTH",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MS, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-01",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10123",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC7065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.