Active NPI
Merrideth Wile, LGPC
- Counselor
- Hagerstown, MD
National Provider Identifier
1992584833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP9930
- Practice address
- 1140 Professional Court
Hagerstown, MD 21740-5852 - Phone
- (301) 778-5900
- NPI assigned
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGP9930 | MD | Primary |
Addresses
Primary practice location
1140 Professional Court
Hagerstown, MD 21740-5852
Mailing address
1140 Professional Court
Hagerstown, MD 21740-5852
Phone (301) 778-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 2, 2025 through Jan 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP9930 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1992584833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 PROFESSIONAL COURT",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405852",
"telephone_number": "301-778-5900",
"fax_number": "301-778-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 PROFESSIONAL COURT",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405852",
"telephone_number": "301-778-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILE",
"first_name": "MERRIDETH",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-28",
"last_updated": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP9930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.