Colleen Wilcox, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC7834 Issued in MD

Practice address

1110 Benfield Blvd Ste H
Millersville, MD 21108-2644

Phone

(410) 987-3448

NPI assigned

Nov 1, 2017

Last updated

Nov 1, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1700398641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 TRAFALGAR CIR APT 250",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210765017",
            "telephone_number": "443-852-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BENFIELD BLVD STE H",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082644",
            "telephone_number": "410-987-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Whitaker, PSY.D., NCSP, ABSNP
• White Oak Pediatrics, DRS. Battiata & Impeduglia, P.a. (Gvozden Pediatrics, P.A.)
• White Oak Pediatrics, DRS. Battiata & Impeduglia, P.a. (Gvozden Pediatrics)
• Nancy Wikes, LCSW-C
• Devon Wilborne
• Peter Charles Wilcox, LCSW C
• Danielle Williams
• Lauren Williams
• Nelan Williams
• Victoria Elaine Wilson, LCSWC

• Professional Counselor in Millersville, MD
• Providers in Millersville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.