Individual provider Active NPI

Veronica M Wanzer, LCPC

  • Professional Counselor
  • Gaithersburg, MD
National Provider Identifier
1871877654
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
509 Quince Orchard Rd # 129
Gaithersburg, MD 20878-1435
Phone
(240) 427-5547
Fax
(240) 465-0422
NPI assigned
Sep 28, 2011
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

509 Quince Orchard Rd # 129
Gaithersburg, MD 20878-1435

Mailing address

509 Quince Orchard Rd # 129
Gaithersburg, MD 20878-1435
Phone (240) 427-5547

Other identifiers 1

IdentifierTypeStateIssuer
5170OtherMDLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250520003880 MD Practitioner - Mental Health Counselor 9133647332 Reassigns benefits to 1 organization
I20250520003997 DC Practitioner - Mental Health Counselor 9133647332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care of Maryland LLCGroup PAC ID 9234460999, 38 clinicians

Practice addresses (Care Compare)

1010 E 33Rd St
Baltimore, MD 21218-3780
Phone 71829843753780

4409 E W Hwy
Riverdale, MD 20737-1058
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Diversity School CurrentSince May 26, 2024 Accepting new patients
Supportive Care of Maryland LLC CurrentSince May 1, 2025 Accepting new patients
All Things Are Possible Services, LLC Professional Past Accepting new patients

Locations

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1871877654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 QUINCE ORCHARD RD # 129",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781435",
            "telephone_number": "240-427-5547",
            "fax_number": "240-465-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 QUINCE ORCHARD RD # 129",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781435",
            "telephone_number": "240-427-5547",
            "fax_number": "240-465-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANZER",
        "first_name": "VERONICA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5170",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.