Active NPI
Alexandra Wykowski, LCPC
- Mental Health Counselor
- Bel Air, MD
National Provider Identifier
1114684446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC13357
- Practice address
- 1201 Agora Dr Ste LB2
Bel Air, MD 21014-6863 - Phone
- (410) 836-7332
- Fax
- (410) 836-7422
- NPI assigned
- Nov 22, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC13357 | MD | Primary |
Addresses
Primary practice location
1201 Agora Dr Ste LB2
Bel Air, MD 21014-6863
Mailing address
1201 Agora Dr Ste LB2
Bel Air, MD 21014-6863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699907496 | Medicaid | MD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC13357 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harford Counseling, LLC | Current | Accepting new patients |
Locations
1201 Agora Dr
Ste LB2
Bel Air, MD 21014
Phone (410) 303-5432
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.
-
- Clinical Social Worker
- Havre de Grace, MD
- NPI 1699907493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1114684446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 AGORA DR STE LB2",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210146863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 AGORA DR STE LB2",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210146863",
"telephone_number": "410-836-7332",
"fax_number": "410-836-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYKOWSKI",
"first_name": "ALEXANDRA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-22",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC13357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699907496",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.