IndividualActive
Derrico Wylie, PHD, LCPC, NCC
NPI 1700914801 · Mental Health Counselor · Camp Springs, MD
Provider details
- NPI number
- 1700914801
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- PHD, LCPC, NCC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5713 Linda Ln
Camp Springs, MD 20748-2331
Phone: (615) 300-7092
Street-level locationGet directions
Mailing address
5713 Linda Ln
Camp Springs, MD 20748-2331
Additional practice locations (1)
- 633 Thompson LnNashville, TN 37204-3616Phone: (615) 460-4462Fax: (615) 460-4431
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2019-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.