Active NPI
Faith Wilson
- Mental Health Counselor
- Bowie, MD
National Provider Identifier
1336966001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 16900 Science Dr Ste 208-210
Bowie, MD 20715-4401 - Phone
- (240) 617-1399
- NPI assigned
- Sep 24, 2024
- Last updated
- Jul 21, 2026
- 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 | Primary |
Addresses
Primary practice location
16900 Science Dr Ste 208-210
Bowie, MD 20715-4401
Mailing address
2512 Wayne PL
Cheverly, MD 20785-3042
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modyfi Health Inc | Mental Health | Current | Accepting new patients |
| Columbia Associates in Psychiatry PC | Mental Health | Past | Accepting new patients |
Locations
9841 Washingtonian Blvd
Ste 2001065
Gaithersburg, MD 20878
Phone (240) 415-8411
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Modyfi
- Multi-Specialty Clinic/Center
- Gaithersburg, MD
- NPI 1376015206
Mental Health
-
- Psychiatry Physician
- Arlington, VA
- NPI 1699012930
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1336966001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 WAYNE PL",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207853042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16900 SCIENCE DR STE 208-210",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154401",
"telephone_number": "240-617-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "FAITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-24",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.