Christine Allene Wilson, M. ED.PSYCH.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00004755 Issued in WA

Practice address

417 N Maple St
Colville, WA 99114-3013

Phone

(509) 690-0715

NPI assigned

Nov 21, 2006

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 identifiers 1

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1073688677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N MAPLE ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991143013",
            "telephone_number": "509-690-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N MAPLE ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991143013",
            "telephone_number": "509-690-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTINE",
        "middle_name": "ALLENE",
        "credential": "M. ED.PSYCH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907172",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Wickens, MD
• Amy M Wilder
• Wildflower Mind-Body Therapy
• Coltin R Williams
• Austin R Wilson
• Melody A Wilson, RC
• Brenda J Windom, LMP
• Brianna L Wing, PA-C
• Ashlee N. Winlow
• Chelsea R Winter

• Mental Health Counselor in Colville, WA
• Providers in Colville, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.