Organization Active NPI

Wilcox Wellness, LLC

  • Professional Counselor
  • Southington, CT
National Provider Identifier
1033510367
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2459 Issued in CT
Legal business name
WILCOX WELLNESS, LLC
Practice address
92 N Summit St
Southington, CT 06489-3013
Phone
(860) 266-6098
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Erica Wilcox, MS, LPCNPI 1295154979
Title
Licensed Professional Counselor
Phone
(860) 266-6098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2459 CT Primary

Addresses

Primary practice location

92 N Summit St
Southington, CT 06489-3013

Mailing address

92 N Summit St
Southington, CT 06489-3013
Phone (860) 266-6098

Other practice location 1

96 Center St
Southington, CT 06489-3108
Phone (860) 266-6098

National Provider Directory

National Provider Directory

Locations

96 Center St
Southington, CT 06489
Phone (860) 266-6098

92 N Summit St
Southington, CT 06489
Phone (860) 266-6098

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1033510367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 N SUMMIT ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893013",
            "telephone_number": "860-266-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 N SUMMIT ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893013",
            "telephone_number": "860-266-6098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Center St",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064893108",
            "country_code": "US",
            "telephone_number": "860-266-6098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILCOX WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "860-266-6098",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.