Madeline Sarah Wilson, LMHC, SUDP, ATR-P

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61173476 Issued in WA

Practice address

2111 N Northgate Way Ste 101
Seattle, WA 98133-9018

Phone

(425) 629-0433

NPI assigned

Oct 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1023651718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12049 36TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255636",
            "telephone_number": "301-712-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N NORTHGATE WAY STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339018",
            "telephone_number": "425-629-0433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12049 36th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981255636",
            "country_code": "US",
            "telephone_number": "253-260-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MADELINE",
        "middle_name": "SARAH",
        "credential": "LMHC, SUDP, ATR-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60890327",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61132947",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61006347",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61173476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Curry Wilson, LSWAIC
• Leah Kathryn Wilson, PT, CMC
• Linda Wilson, RCP, RRT, RPFT
• Linda M Wilson, PAC
• Lisa Marie Wilson, MD
• Margaret Claire Wilson
• Mari Beth Wilson
• Mariann E Wilson, LMT
• Mark E Wilson, DDS
• Marni L. Wilson, AAS

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.