Individual provider Active NPI

Sylvia F Wilson, LCPC

  • Mental Health Counselor
  • Hanover, PA
National Provider Identifier
1356811640
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC10952 Issued in MD
Practice address
1418 Baltimore St Ste 12-213
Hanover, PA 17331-8536
Phone
(410) 209-0680
NPI assigned
Nov 28, 2018
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LGP9124 MD
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X PC014553 PA
Mental Health Counselor 101YM0800X LC10952 MD Primary

Addresses

Primary practice location

1418 Baltimore St Ste 12-213
Hanover, PA 17331-8536

Mailing address

1418 Baltimore St Ste 12-213
Hanover, PA 17331-8536
Phone (410) 209-0680

Other practice location 1

10999 Red Run Blvd Ste 205-331
Owings Mills, MD 21117-3261
Phone (410) 209-0680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

201 S Biscayne Blvd
Suite 2867
Miami, FL 33131-4330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP9124MDMDCounselor
LC10952MDMDMental Health Counselor
PC014553PAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1356811640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 BALTIMORE ST STE 12-213",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173318536",
            "telephone_number": "410-209-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 BALTIMORE ST STE 12-213",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173318536",
            "telephone_number": "410-209-0680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10999 Red Run Blvd Ste 205-331",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211173261",
            "country_code": "US",
            "telephone_number": "410-209-0680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SYLVIA",
        "middle_name": "F",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP9124",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC014553",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC10952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.