Individual provider Active NPI

Marquita Lachette Wilson, M.ED., LPC, LGC, NCC

  • Professional Counselor
  • Newton, MS
National Provider Identifier
1003424078
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2729 Issued in MS
Practice address
210 S Main St
Newton, MS 39345-2613
Phone
(601) 900-8632
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 324167 MS
Counselor 101Y00000X 2729 MS
Professional Counselor 101YP2500X 2729 MS Primary

Addresses

Primary practice location

210 S Main St
Newton, MS 39345-2613

Mailing address

PO Box 117
Forest, MS 39074-0117
Phone (601) 900-8632

Other identifiers 1

IdentifierTypeStateIssuer
200023491MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

210 S Main St
Newton, MS 39345-2613

PO Box
Suite 117
Forest, MS 39074-0117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2729MSMDProfessional Counselor
324167MSMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Healing to Wellness Counseling Professional CurrentSince Sep 8, 2025 Accepting new patients

Locations

210 S Main St
Newton, MS 39345
Phone (601) 287-5528

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1003424078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390740117",
            "telephone_number": "601-900-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393452613",
            "telephone_number": "601-900-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARQUITA",
        "middle_name": "LACHETTE",
        "name_prefix": "Ms.",
        "credential": "M.ED., LPC, LGC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MS",
            "license": "324167",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "2729",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200023491",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MS

Sources for this page

Verify at the official NPI Registry.