Individual provider Active NPI

Emily Jane Wigglesworth, LPC, LCPC

  • Professional Counselor
  • Silver Spring, MD
National Provider Identifier
1164164166
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC8215 Issued in MD
Practice address
1420 Spring St
Silver Spring, MD 20910-2701
Phone
(240) 847-7504
NPI assigned
Apr 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC8215 MD Primary
Professional Counselor 101YP2500X PRC14857 DC

Addresses

Primary practice location

1420 Spring St
Silver Spring, MD 20910-2701

Mailing address

4447 Albemarle St NW
Washington, DC 20016-2013
Phone (202) 997-0448

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
PRC14857DCMDProfessional Counselor
LC8215MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Serving DC MD VA 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": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1164164166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 ALBEMARLE ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162013",
            "telephone_number": "202-997-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SPRING ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102701",
            "telephone_number": "240-847-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGLESWORTH",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "credential": "LPC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8215",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.