Individual provider Active NPI

Maquel Rakia Miller, LCPC

  • Mental Health Counselor
  • Annapolis, MD
National Provider Identifier
1467054858
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC10761 Issued in MD
Practice address
108 Old Solomons Island Rd
Annapolis, MD 21401-3845
Phone
(410) 696-4740
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC10761 MD
Mental Health Counselor 101YM0800X LC10761 MD Primary

Addresses

Primary practice location

108 Old Solomons Island Rd
Annapolis, MD 21401-3845

Mailing address

108 Old Solomons Island Rd Ste L8
Annapolis, MD 21401-3828
Phone (410) 696-4740

Other practice location 1

1595 Secretariat Dr
Annapolis, MD 21409-5609
Phone (410) 533-4674

Other identifiers 1

IdentifierTypeStateIssuer
LC10761OtherMDBOPC

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
LC10761MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Wealth CurrentSince Jan 15, 2023 Accepting new patients

Locations

108 Old Solomons Island Rd
Ste L8
Annapolis, MD 21401
Phone (410) 696-4740

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1467054858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 OLD SOLOMONS ISLAND RD STE L8",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013828",
            "telephone_number": "410-696-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OLD SOLOMONS ISLAND RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013845",
            "telephone_number": "410-696-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1595 Secretariat Dr",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214095609",
            "country_code": "US",
            "telephone_number": "410-533-4674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MAQUEL",
        "middle_name": "RAKIA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2021-06-29",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC10761",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC10761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOPC",
            "identifier": "LC10761",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.