Active NPI
Michele Wilbur, LCPC
- Counselor
- Prince Frederick, MD
National Provider Identifier
1235524901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP6156
- Practice address
- 995 Prince Frederick Blvd Ste 209
Prince Frederick, MD 20678-5101 - Phone
- (410) 610-7530
- Fax
- (410) 414-9413
- NPI assigned
- Mar 31, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC11599 | MD | |
| Counselor | 101Y00000X | LGP6156 | MD | Primary |
Addresses
Primary practice location
995 Prince Frederick Blvd Ste 209
Prince Frederick, MD 20678-5101
Mailing address
6041 Clairemont Dr
Owings, MD 20736-4210
Phone (410) 610-7530
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 |
|---|---|---|---|
| LGP6156 | MD | MD | Counselor |
| LC11599 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MLW Counseling Services, LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Owings, MD
- NPI 1285401182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624060800000",
"number": "1235524901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6041 CLAIREMONT DR",
"city": "OWINGS",
"state": "MD",
"postal_code": "207364210",
"telephone_number": "410-610-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 PRINCE FREDERICK BLVD STE 209",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206785101",
"telephone_number": "410-610-7530",
"fax_number": "410-414-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBUR",
"first_name": "MICHELE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2021-06-19",
"certification_date": "2021-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC11599",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP6156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.