Active NPI
Jane Frances Wilson, LMFT, LPC, LCAS
- Mental Health Counselor
- Morganton, NC
National Provider Identifier
1073673299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3467
- Practice address
- 207 Queen St
Morganton, NC 28655-3341 - Phone
- (828) 439-8191
- Fax
- (828) 439-2622
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3467 | NC | Primary |
| Psychoanalyst | 102L00000X | |||
| Marriage & Family Therapist | 106H00000X | 720 | NC |
Addresses
Primary practice location
207 Queen St
Morganton, NC 28655-3341
Mailing address
PO Box 3624
Morganton, NC 28680-3624
Phone (828) 439-8191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610575 | Medicaid | NC | |
| 132Y2 | Other | NC | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3467 | NC | MD | General Practice Dentistry |
| 720 | NC | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1073673299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3624",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286803624",
"telephone_number": "828-439-8191",
"fax_number": "828-439-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 QUEEN ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553341",
"telephone_number": "828-439-8191",
"fax_number": "828-439-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JANE",
"middle_name": "FRANCES",
"name_prefix": "Ms.",
"credential": "LMFT, LPC, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "3467",
"primary": true
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "720",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "610575",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "132Y2",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.