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LISA WILKS M.A. LPC LCPC NPI 1598125155


NPI Information

NPI: 1598125155
Provider Name: LISA WILKS, M.A., LPC, LCPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1300 MERCANTILE LN STE 100M
LARGO, MD
ZIP 20774
Phone: (202) 600-1403
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Lisa Wilks, M.A., LPC, LCPC is a counselor in Largo, MD. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Lisa Wilks, M.A., LPC, LCPC NPI is 1598125155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1300 MERCANTILE LN STE 100M
LARGO, MD
ZIP 20774-390
Phone: (202) 600-1403

The enumeration date for this NPI number is 2/25/2016 and was last updated on 1/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorPRC14749DISTRICT OF COLUMBIANo
2101Y00000XCounselorLC7708MARYLANDNo
3101Y00000XCounselorYes
4101YM0800XCounselorMental HealthPRC14749DISTRICT OF COLUMBIANo
5101YM0800XCounselorMental HealthLC7708MARYLANDNo
6101YP2500XCounselorProfessionalPRC14749DISTRICT OF COLUMBIANo
7101YP2500XCounselorProfessionalLC7708MARYLANDNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LC7708OTHERMARYLANDLCPC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.