Wilson Counseling Service, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILSON COUNSELING SERVICE, LLC

Practice address

Vineville Avenue
Suite B
Macon, GA 31204

Phone

(478) 288-0709

NPI assigned

Jun 2, 2022

Last updated

Jun 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth WilsonNPI 1821563735

Title

Ceo

Phone

(478) 288-0709

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Lamar Wilson, LPC

  • Professional Counselor
  • Macon, GA
  • NPI 1821563735
  NPD Authorized official

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1063151447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 385",
            "city": "HARDWICK",
            "state": "GA",
            "postal_code": "310340385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VINEVILLE AVENUE",
            "address_2": "SUITE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-288-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-288-0709",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rondrick Eshon Williamson
• Paul D Willis, LDO
• Sydney Willis
• Willow Creek Real Estates Properties
• Willowsway, LLC
• Jeffrey A Wilson-Reese, PSY.D.
• Amber A Wilson, FNP-C
• Annjanette Wilson
• Candice Newton Wilson, PT
• Crystal M Wilson, LPN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Macon, GA
• Providers in Macon, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.