WANDA ANN MIXON LGPC
NPI 1215688445
Counselor - Professional in Denton, MD

Active since January 10, 2022
808 S 5TH AVE, DENTON, MD 21629(410) 479-2650(833) 908-2283 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wanda Ann Mixon Lgpc NPPES

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

WANDA ANN MIXON LGPC (NPI 1215688445) is an individual professional provider in Denton, Maryland, licensed in Maryland (LGP10865) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1215688445
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameWANDA ANN MIXONCredential: LGPC
Location Address808 S 5TH AVEDenton, MD 21629-1398
Mailing Address808 S 5th AveDenton, MD 21629-1398 · (410) 479-2650 · Fax (833) 908-2283
Fax(833) 908-2283
Sole ProprietorNo
Enumeration DateJanuary 10, 2022
NPPES CertifiedJanuary 10, 2022
NPI 1215688445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LGP10865
808 S 5TH AVE, Denton, MD 21629

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
808 S 5TH AVE
DENTON, MD 21629
Student in an Organized Health Care Education/Training Program
808 S 5TH AVE
DENTON, MD 21629
Dentist
808 S 5TH AVE
DENTON, MD 21629
Clinic/Center (Federally Qualified Health Center (FQHC))
808 S 5TH AVE
DENTON, MD 21629
Dentist
808 S 5TH AVE
DENTON, MD 21629
Pediatrics
808 S 5TH AVE
DENTON, MD 21629
Student in an Organized Health Care Education/Training Program
808 S 5TH AVE
DENTON, MD 21629
Nurse Practitioner (Psychiatric/Mental Health)
808 S 5TH AVE
DENTON, MD 21629

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 Wanda Mixon's NPI number?

The NPI number for Wanda Mixon is 1215688445. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Wanda Mixon located?

Wanda Mixon practices at 808 S 5th Ave, Denton, MD 21629. The listed phone number is (410) 479-2650.

What is Wanda Mixon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Wanda Mixon was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.