Nikiah Wade, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC14252 Issued in MD

Practice address

7474 Greenway Center Dr Ste 730
Greenbelt, MD 20770-3523

Phone

(301) 345-1022

Fax

(240) 965-5363

NPI assigned

Sep 14, 2021

Last updated

Mar 22, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Abundantly Well Therapeutic Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Carrollton, MD
  • NPI 1043192636
  NPD Authorized official

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1861162653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W 7TH ST STE 500",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217018512",
            "telephone_number": "301-345-1022",
            "fax_number": "301-560-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 730",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703523",
            "telephone_number": "301-345-1022",
            "fax_number": "240-965-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "NIKIAH",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC14252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Volunteers of America Chesapeake & Carolinas, Inc.
• Volunteers of America Chesapeake & Carolinas, Inc.
• Volunteers of America Chesapeake & Carolinas, Inc.
• Volunteers of America Chesapeake & Chesapeake Inc.
• Nicoline Mukwei Wachu
• Marcella Gordon Walder, MSW
• Danielle R Waldrop, M.D.
• Tonique Tanoya Walker
• Calvin Rainford Wallace
• Davina Wallace

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; 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.