1. Home
  2. Directory
  3. Maryland
  4. Bowie
  5. Counselor
  6. NPI Profile

TAKISHA WILSON LGPC
NPI 1003579764
Counselor - Mental Health in Bowie, MD

Active since October 20, 2021
2714 PRINCESS VICTORIA WAY, BOWIE, MD 20721(201) 341-0153 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2025, Oct 20, 2021 (2 updates tracked since 2021).

About Takisha Wilson Lgpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAKISHA WILSON LGPC (NPI 1003579764) is an individual mental health provider in Bowie, Maryland, licensed in Maryland (LC16674) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1003579764
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAKISHA WILSONCredential: LGPC
Location Address2714 PRINCESS VICTORIA WAYBowie, MD 20721-2439
Mailing Address2714 Princess Victoria WayBowie, MD 20721-2439 · (201) 341-0153
Phone(201) 341-0153
Sole ProprietorYes
Enumeration DateOctober 20, 2021
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1003579764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC16674
2714 PRINCESS VICTORIA WAY, Bowie, MD 20721
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Takisha Wilson's NPI number?

The NPI number for Takisha Wilson is 1003579764. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Where is Takisha Wilson located?

Takisha Wilson practices at 2714 Princess Victoria Way, Bowie, MD 20721. The listed phone number is (201) 341-0153.

What is Takisha Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Takisha Wilson was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.