Barbara Wilson, PH.D., LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC007568 Issued in GA

Practice address

6439 Deep Woods CT
Flowery Branch, GA 30542-6629

Phone

(770) 533-0759

NPI assigned

Sep 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Barbara Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: barb.wilson@489656322949124.direct.elationemr.com

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1073061339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6439 DEEP WOODS CT",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305426629",
            "telephone_number": "770-533-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 DEEP WOODS CT",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305426629",
            "telephone_number": "770-533-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC007568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "SMITH",
            "credential": "PH.D., LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carla P. Whitlow, PA
• Pamlea Harris Wilder
• Jennifer E Williams, PT, DPT
• Willowwood Nursing Center Inc
• Willowwood Pac LLC
• Christiane Wilson
• Latoya Wilson, CNA
• Pamela Wilson, OTR/L
• Wonder Therapeutic Services LLC
• Philip Wong

• Counselor in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.