Active NPI
Sabrie Renee Wiggins-Rose, LCPC
- Professional Counselor
- Suitland, MD
National Provider Identifier
1942604483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC5642
- Practice address
- 4095 Silver Park Ter
Suitland, MD 20746-3047 - Phone
- (301) 356-5276
- NPI assigned
- Oct 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC5642 | MD | Primary |
Addresses
Primary practice location
4095 Silver Park Ter
Suitland, MD 20746-3047
Mailing address
2612 Talbot CT
Waldorf, MD 20602-2017
Phone (301) 356-5276
Other practice location 1
11001 Frank Tippett Rd
Cheltenham, MD 20623-1323
Phone (301) 396-5000 ext. 5066
Other practice location 2
6100 Radio Station Rd
LA Plata, MD 20646-3314
Phone (301) 609-9887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC5642 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birdies Nest Therapeutic & Consulting Services LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Suitland, MD
- NPI 1699289843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1942604483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612 TALBOT CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022017",
"telephone_number": "301-356-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4095 SILVER PARK TER",
"city": "SUITLAND",
"state": "MD",
"postal_code": "207463047",
"telephone_number": "301-356-5276"
}
],
"practiceLocations": [
{
"address_1": "11001 Frank Tippett Rd",
"address_purpose": "LOCATION",
"city": "Cheltenham",
"state": "MD",
"postal_code": "206231323",
"country_code": "US",
"telephone_number": "301-396-5000 x5066",
"fax_number": "301-396-5073",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6100 Radio Station Rd",
"address_purpose": "LOCATION",
"city": "LA Plata",
"state": "MD",
"postal_code": "206463314",
"country_code": "US",
"telephone_number": "301-609-9887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIGGINS-ROSE",
"first_name": "SABRIE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-13",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC5642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suitland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.