Paul Thomas Wilson, LMHC, LMFT, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39000877A Issued in IN

Practice address

307 Simpson St
Greencastle, IN 46135-0066

Phone

(765) 658-6776

NPI assigned

May 23, 2007

Last updated

Nov 12, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1063622439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461350792",
            "telephone_number": "765-658-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 SIMPSON ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461350066",
            "telephone_number": "765-658-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "LMHC, LMFT, LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000877A",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33002523A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001054A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy Wells, MSW
• Marnie Jean Widdifield, MD
• Brian Williams, PHARMD
• Esther L. Wilson, RN, FNP
• Gerald Wilson, DPT
• Rebecca Lynn Wilson
• Kelley Elizabeth Wood, NP
• Leslie Suzanne Woodall, O.D.
• Nicholas James Woodall, O.D.
• Lesley Woodruff, DPT

• Mental Health Counselor in Greencastle, IN
• Providers in Greencastle, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.