Active NPI
Marie Delores Wilson, PHD, ATR-BC, LPC
- Professional Counselor
- Allentown, PA
National Provider Identifier
1043372865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC001865
- Practice address
- 2020 Downyflake LN
Suite 302a
Allentown, PA 18103-4917 - Phone
- (610) 248-4943
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- 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 | PC001865 | PA | Primary |
Addresses
Primary practice location
2020 Downyflake LN
Suite 302a
Allentown, PA 18103-4917
Mailing address
5824 Keith LN
Emmaus, PA 18049-5049
Phone (610) 248-4943
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC001865 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1043372865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5824 KEITH LN",
"city": "EMMAUS",
"state": "PA",
"postal_code": "180495049",
"telephone_number": "610-248-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 DOWNYFLAKE LN",
"address_2": "SUITE 302A",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181034917",
"telephone_number": "610-248-4943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MARIE",
"middle_name": "DELORES",
"name_prefix": "Dr.",
"credential": "PHD, ATR-BC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC001865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.