Individual provider Active NPI

Wylie D McNeil, LCPC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1518983550
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC0366 Issued in MD
Practice address
3333 N Calvert St
Suite 670
Baltimore, MD 21218-2867
Phone
(410) 933-9000
Fax
(410) 933-9085
NPI assigned
Jul 14, 2006
Last updated
May 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC0366 MD Primary

Addresses

Primary practice location

3333 N Calvert St
Suite 670
Baltimore, MD 21218-2867

Mailing address

3333 N Calvert St
Suite 670
Baltimore, MD 21218-2867
Phone (410) 933-9000

Other identifiers 1

IdentifierTypeStateIssuer
407674500MedicaidMD

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
LC0366MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1518983550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST",
            "address_2": "SUITE 670",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182867",
            "telephone_number": "410-933-9000",
            "fax_number": "410-933-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST",
            "address_2": "SUITE 670",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182867",
            "telephone_number": "410-933-9000",
            "fax_number": "410-933-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "WYLIE",
        "middle_name": "D",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC0366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407674500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.