Individual provider Active NPI

Maria O Willey, M.A., LCMFT

  • Marriage & Family Therapist
  • Columbia, MD
National Provider Identifier
1487789319
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCM1010 Issued in MD
Practice address
5850 Waterloo Rd Ste 230
Columbia, MD 21045-1943
Phone
(410) 757-2077
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 762 LA
Marriage & Family Therapist 106H00000X LCM1010 MD Primary

Addresses

Primary practice location

5850 Waterloo Rd Ste 230
Columbia, MD 21045-1943

Mailing address

5850 Waterloo Rd Ste 230
Columbia, MD 21045-1943
Phone (410) 757-2077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20241122001048 MD Practitioner - Marriage and Family Therapist 7214462662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

5850 Waterloo Rd
Suite 230
Columbia, MD 21045-1943
Phone (410) 757-2077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
762LAMDClinical Psychologist
LCM1010MDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals L.C. CurrentSince Nov 11, 2024 Accepting new patients
Arundel Mental Health Professionals LLC PastSince Jul 31, 2022 Accepting new patients

Locations

5850 Waterloo Rd
Ste 230
Columbia, MD 21045
Phone (240) 687-7826

1662 Village Grn
#B
Crofton, MD 21114

8133 Elliott Rd
Ste 236A
Easton, MD 21601
Phone (443) 906-3506

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1487789319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 WATERLOO RD STE 230",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451943",
            "telephone_number": "410-757-2077",
            "fax_number": "443-782-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 WATERLOO RD STE 230",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451943",
            "telephone_number": "410-757-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "MARIA",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "M.A., LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "762",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.