Individual provider Active NPI

Nelly N Valero-Wills, LCPC

  • Mental Health Counselor
  • Silver Spring, MD
National Provider Identifier
1699035394
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC4158 Issued in MD
Practice address
8720 Georgia Ave Ste 205
Silver Spring, MD 20910-3614
Phone
(301) 789-3913
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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 LC4158 MD Primary

Addresses

Primary practice location

8720 Georgia Ave Ste 205
Silver Spring, MD 20910-3614

Mailing address

4203 Kaywood Dr Apt 2
Mount Rainier, MD 20712-1421
Phone (240) 770-6810

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
LC4158MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1699035394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 KAYWOOD DR APT 2",
            "city": "MOUNT RAINIER",
            "state": "MD",
            "postal_code": "207121421",
            "telephone_number": "240-770-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE STE 205",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103614",
            "telephone_number": "301-789-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERO-WILLS",
        "first_name": "NELLY",
        "middle_name": "N",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.