Wye Oak Therapeutic Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WYE OAK THERAPEUTIC SERVICES, LLC

Practice address

165 Log Canoe Cir Ste B-3
Stevensville, MD 21666-2149

Phone

(443) 249-3351

NPI assigned

Jun 26, 2019

Organization subpart

No

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

Authorized official

Name

Crystal R Blanchard, LCPCNPI 1396282471

Title

Owner/Psychotherapist

Phone

(443) 249-2601

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Pote, LSCW, RN

  • Clinical Social Worker
  • Felton, DE
  • NPI 1912616301

  MD

  Medicare reassignment NPD
• Crystal Renee Blanchard, MA. LCPC

  • Professional Counselor
  • Stevensville, MD
  • NPI 1396282471
  NPD Authorized official
• Leah Katlynn Miles Prezzi, LMSW

  • Social Worker
  • Stevensville, MD
  • NPI 1386445898
  NPD
• Devon Leigh White

  • Professional Counselor
  • Severna Park, MD
  • NPI 1679181127
  NPD

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1063073450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 LOG CANOE CIR STE B-3",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662149",
            "telephone_number": "443-249-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 LOG CANOE CIR STE B-3",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662149",
            "telephone_number": "443-249-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYE OAK THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "443-249-2601",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "crblanchard@WOTS.HELP",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "139 Log Canoe Cir",
            "city": "Stevensville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216662127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "crblanchard@WOTS.HELP",
            "affiliation": "N",
            "address_1": "165 Log Canoe Cir Ste B-3",
            "city": "Stevensville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216662149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Walkup, BT
• Billie Walton, MS, CNS, LDN
• Mariangela J Weiskopf, LCPC
• Lauren Elizabeth Wheaton, LMFT
• Denise Whiting Whiting, RN
• Ivy Wyszynski, RPH
• Yahweh Health, P.C.
• Jasmine Yandoc, LMSW
• Rebecca Ann Yetton
• Trevor Rishawn Marquis York, M.D.

• Professional Counselor in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.