Active NPI
Joe Wilson, L.P.C.
- Professional Counselor
- Macon, GA
National Provider Identifier
1023304599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC003234
- Practice address
- 144 Pierce Avenue
Macon, GA 31204 - Phone
- (478) 475-4608
- Fax
- (478) 476-8397
- NPI assigned
- Jun 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC003234 | GA | Primary |
Addresses
Primary practice location
144 Pierce Avenue
Macon, GA 31204
Mailing address
144 Pierce Avenue
Macon, GA 31204
Phone (478) 475-4608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC003234 | Other | GA | LICENSED PROFESSIONAL COUNSELOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC003234 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1023304599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 PIERCE AVENUE",
"city": "MACON",
"state": "GA",
"postal_code": "31204",
"telephone_number": "478-475-4608",
"fax_number": "478-476-8397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 PIERCE AVENUE",
"city": "MACON",
"state": "GA",
"postal_code": "31204",
"telephone_number": "478-475-4608",
"fax_number": "478-476-8397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JOE",
"name_prefix": "Mr.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-23",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC003234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "LPC003234",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.