MRS. LAGAIL JEANEAN WILSON (NPI# 1356899546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356899546 |
| Entity Type | Individual |
| Full Name | MRS. LAGAIL JEANEAN WILSON |
| Credential | LCMFT |
| Practice Address |
15717 Crabbs Branch Way Ste 229 Rockville MD 20855-6650 |
| Mailing Address |
17604 Phelps Hill Ln Derwood MD 20855-1358 |
| Practice Telephone | 3016372792 |
| Practice Fax Number | 8443750213 |
| Mailing Telephone | 9139637133 |
| Mailing Fax Number | 8443750213 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 2852 | KS | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | LCM756 | MD | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 2794 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201229790A | 05 |
| Street Address |
15717 CRABBS BRANCH WAY STE 229 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20855-6650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801388525 | Michael Robinson | Behavior Technician | 7613 Standish Place, Rockville, MD 20855 | 2018-05-30 |
| 1144722885 | Samantha Green | Occupational Therapist | 15850 Crabbs Branch Way # 150, Rockville, MD 20855 | 2018-03-07 |
| 1144690157 | Katrina Williams | Psychologist | 15744 Crabbs Branch Way Ste 100, Derwood, MD 20855 | 2015-10-02 |
| 1720321888 | Melanie Milczarski Smith | Specialist | 17620-a Redland Road, Rockville, MD 20855 | 2013-03-27 |
| 1104155167 | Nicole Renee Christenson | Nurse Practitioner | 6001 Muncaster Mill Rd., Rockville, MO 20855 | 2009-12-21 |
| 1104093244 | Diane Klucinikas Boyd | Audiologist | 18520 Azalea Drive, Derwood, MD 20855 | 2008-05-08 |
| 1437320413 | Shana Rene Mizzer | Social Worker | 8915 Shady Grove Court, Derwood, MD 20855 | 2008-03-18 |
| 1083786032 | Mary Foster Herbers | Social Worker | 15521 Villisca Terrace, Rockville, MD 20855 | 2006-11-14 |
| 1063583698 | Samuel Blum | Dentist | 15720 Crabbs Branch Way, No 1 C, Rockville, MD 20855 | 2006-11-13 |
| 1538639182 | Jamie Jackson | Behavior Technician | 7529 Standish Pl, Rockville, MD 20855 | 2018-11-27 |
| Find all providers in zip 20855 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871113324 | Diana Kochan | Marriage & Family Therapist | 15235 Shady Grove Rd Ste 105, Rockville, MD 20850-6278 | 2020-04-24 |
| 1639315468 | Olga Louise Quintino-bloch | Marriage & Family Therapist | 6236 Montrose Rd, Rockville, MD 20852-4119 | 2008-12-29 |
| 1619186871 | Gloria Frigola | Marriage & Family Therapist | 604 Crocus Dr, Rockville, MD 20850-2045 | 2007-05-22 |
| 1255419891 | Paul Sigafus | Marriage & Family Therapist | 6288 Montrose Rd, Rockville, MD 20852-4119 | 2006-11-01 |
| 1528667086 | Mckenzie Sherman | Marriage & Family Therapist | 14705 Avery Rd, Rockville, MD 20853-3605 | 2020-10-25 |
| 1972102234 | Xiaofang Wang Lanterman | Marriage & Family Therapist | 6266 Montrose Rd, Rockville, MD 20852-4119 | 2020-10-19 |
| 1538702246 | Montgomery County Counseling Center, LLC | Marriage & Family Therapist | 6214 Montrose Rd, Rockville, MD 20852-4119 | 2019-10-25 |
| 1770064081 | Naomi Levine | Marriage & Family Therapist | 200 Wood Hill Rd, Rockville, MD 20850-8724 | 2018-08-24 |
| 1952808883 | Iris Eve Goldblatt | Marriage & Family Therapist | 11140 Rockville Pike, Rockville, MD 20852-3106 | 2018-04-08 |
| 1568976686 | Laura Goldstein | Marriage & Family Therapist | 6214 Montrose Rd, Rockville, MD 20852 | 2017-11-28 |
| Find all providers in ROCKVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.