Individual provider Active NPI

Wendy Yowell, LCPC

  • Addiction (Substance Use Disorder) Counselor
  • Prince Frederick, MD
National Provider Identifier
1679515910
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LC1573 Issued in MD
Practice address
280 Stafford Rd
Prince Frederick, MD 20678-3582
Phone
(410) 535-3079
Fax
(410) 535-2220
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC1573 MD
Addiction (Substance Use Disorder) Counselor 101YA0400X LC1573 MD Primary

Addresses

Primary practice location

280 Stafford Rd
Prince Frederick, MD 20678-3582

Mailing address

PO Box 1158
Prince Frederick, MD 20678-1158
Phone (410) 535-3079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231221003403 DC Practitioner - Mental Health Counselor 4486004058 Reassigns benefits to 1 organization
I20241219000281 MD Practitioner - Mental Health Counselor 4486004058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Behavioral Health Services PCGroup PAC ID 4082041637, 29 clinicians

Practice addresses (Care Compare)

1003 W 7TH St
Suite 200
Frederick, MD 21701-4106
Phone (301) 245-6300

7474 Greenway Ctr Dr
Suite 700a
Greenbelt, MD 20770-3523
Phone (301) 982-3437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC1573MDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Behavioral Health Services PC Current Accepting new patients
Lifespan Behavioral Health Services PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1003 W 7th St
Ste 200
Frederick, MD 21701
Phone (240) 651-6824

7474 Greenway Center Dr
Ste 700A
Greenbelt, MD 20770
Phone (301) 982-3437

7474 Greenway Center Dr
#700A
Greenbelt, MD 20770

101 E Chesapeake Ave
Ste 401
Towson, MD 21286
Phone (301) 982-3437

Organizations & group practices 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1679515910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1158",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206781158",
            "telephone_number": "410-535-3079",
            "fax_number": "410-535-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 STAFFORD RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783582",
            "telephone_number": "410-535-3079",
            "fax_number": "410-535-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOWELL",
        "first_name": "WENDY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1573",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LC1573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.