Active NPI
Erin Wade, MS, LPC, LCPC
- Mental Health Counselor
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC13705
- Practice address
- 610 E Diamond Ave Ste 100
Gaithersburg, MD 20877-5321 - Phone
- (301) 840-3200
- NPI assigned
- Jul 6, 2022
- Last updated
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- No
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 | PC014540 | PA | |
| Mental Health Counselor | 101YM0800X | LC13705 | MD | Primary |
Addresses
Primary practice location
610 E Diamond Ave Ste 100
Gaithersburg, MD 20877-5321
Mailing address
16 White Oak Blvd
Mechanicsburg, PA 17050-7929
Phone (270) 791-8384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC13705 | MD | MD | Mental Health Counselor |
| PC014540 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Community Services, Inc. | Current | Accepting new patients | |
| Mosaic Community Services, Inc | Current | Accepting new patients | |
| Mosaic Community Services, Inc | Current | Accepting new patients | |
| Family Services, Inc | Current | Accepting new patients | |
| Family Services, Inc. | Current | Accepting new patients |
Locations
2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360
210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263
610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000
610 E Diamond Ave
Ste 100A
Gaithersburg, MD 20877
Phone (301) 840-3200
328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sheppard Pratt
- Adult Mental Health Clinic/Center
- Timonium, MD
- NPI 1265539142
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hagerstown, MD
- NPI 1124490784
-
dba Aspire Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gaithersburg, MD
- NPI 1881218816
-
dba Sheppard Pratt
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1598084626
-
dba Sheppard Pratt
- Substance Use Disorder Rehabilitation Clinic/Center
- Gaithersburg, MD
- NPI 1710466313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1033842273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 WHITE OAK BLVD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170507929",
"telephone_number": "270-791-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E DIAMOND AVE STE 100",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208775321",
"telephone_number": "301-840-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "ERIN",
"credential": "MS, LPC, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-06",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC014540",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC13705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.