Obrien Lamont Wimbish, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC13841 Issued in MD

Practice address

4801 Cedell PL
Temple Hills, MD 20748-3709

Phone

(301) 524-8122

NPI assigned

May 11, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Imind Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lanham, MD
  • NPI 1265921647

  DC

  Medicare reassignment
• Imind Health LLC

  • Substance Abuse Rehabilitation Facility
  • Lanham, MD
  • NPI 1497218317
  NPD
• Imind Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lanham, MD
  • NPI 1982425195
  NPD

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1457041444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 CEDELL PL",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207483709",
            "telephone_number": "301-524-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 CEDELL PL",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207483709",
            "telephone_number": "301-524-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBISH",
        "first_name": "OBRIEN",
        "middle_name": "LAMONT",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Williams, LCSW-C
• Samantha Williams
• Samuel Joseph Williams
• Amy Alexis Wilson, PHARMD
• Shakia Wilson
• Akilah Vashti Witherspoon, CPFSW, CLC, CD, LCCE
• Beniam Woldeselassie
• Draydese C Womack
• Wonders Living L.L.C.
• Ricardo Keith Woolfolk Sr.

• Professional Counselor in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.