Individual provider Active NPI

Cecilia Wisner, LCPC

  • Mental Health Counselor
  • Severna Park, MD
National Provider Identifier
1538851639
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
811 Governor Ritchie Hwy Ste 15
Severna Park, MD 21146-4130
Phone
(410) 995-9993
NPI assigned
May 25, 2023
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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 NU Primary

Addresses

Primary practice location

811 Governor Ritchie Hwy Ste 15
Severna Park, MD 21146-4130

Mailing address

6108 Pine Crest LN
Frederick, MD 21701-5817

Other practice location 1

322 E Antietam St Ste 101
Hagerstown, MD 21740-5736
Phone (443) 718-1525

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

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Mental Health and Wellness CurrentSince Jul 22, 2025 Accepting new patients

Locations

811 Ritchie Hwy
Ste 15
Severna Park, MD 21146
Phone (410) 980-6136

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1538851639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 PINE CREST LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 GOVERNOR RITCHIE HWY STE 15",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464130",
            "telephone_number": "410-995-9993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 E Antietam St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405736",
            "country_code": "US",
            "telephone_number": "443-718-1525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNER",
        "first_name": "CECILIA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.