Individual provider Active NPI

Alexandra Wykowski, LCPC

  • Mental Health Counselor
  • Bel Air, MD
National Provider Identifier
1114684446
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC13357 Issued in MD
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

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1699907496MedicaidMD

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
LC13357MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Counseling, LLC CurrentSince Nov 28, 2021 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.

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.

Verify at the official NPI Registry.