Rachel Gabriella Wallick, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MHC-1013-0 Issued in HI

Practice address

213 Solway Rd
Lutherville Timonium, MD 21093-2612

Phone

(443) 462-7955

NPI assigned

Nov 13, 2018

Sex

Female

Sole proprietor

Yes

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 MD

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Marissa Block LLC

  dba Insight Therapy

  • Professional Counselor
  • Towson, MD
  • NPI 1407453939
  Medicare reassignment NPD

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1750850384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 SOLWAY RD",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932612",
            "telephone_number": "443-462-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 SOLWAY RD",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932612",
            "telephone_number": "443-462-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLICK",
        "first_name": "RACHEL",
        "middle_name": "GABRIELLA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "HI",
            "license": "MHC-1013-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Vaughan, CRNP
• Village Supermarket of Maryland, LLC (Shoprite Pharmacy of Timonium)
• Nicole Viscuso, DPT
• Anthony Paul Wade II
• Tracy Wallace, LGPC
• Pamela C Watkins, LGPC
• Sarah Marie Weitzel, MS CCC-SLP
• Brandon Marshall West, DDS, MS
• Stephanie A Willard, LCPC
• Mary C. Wilson, P.T.

• Professional Counselor in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.