Patuxent Counseling and Consulting, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PATUXENT COUNSELING AND CONSULTING, LLC

Practice address

6700 Alexander Bell Dr Ste 200
Columbia, MD 21046-2105

Phone

(443) 621-5355

NPI assigned

Mar 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Adona Wimberly, PH.D.NPI 1750597589

Title

Psychologist/ Ceo /Founder

Phone

(443) 621-5355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adona Irene Wimberly, PH.D., L.C.A.D.C.

  • Clinical Psychologist
  • Lutherville, MD
  • NPI 1750597589
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1730839192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 ALEXANDER BELL DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462105",
            "telephone_number": "443-621-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ALEXANDER BELL DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462105",
            "telephone_number": "443-621-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9565 Long Look Ln",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210453241",
            "country_code": "US",
            "telephone_number": "443-621-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATUXENT COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "WIMBERLY",
        "authorized_official_first_name": "ADONA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/ CEO /FOUNDER",
        "authorized_official_telephone_number": "443-621-5355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia S. Stoker, DDS, PA
• Patrick Tong MD LLC
• Cathlee Patterson
• Marcus Patterson
• Rosario Michael Patti, DPT
• Patuxent Hospitalists LLC
• Chantal Paul-Blanc, RN, CCM
• David A Paul, MD
• Johanna Paul, FNP
• Myrja Paul

• Clinical Psychologist in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.