Elizabeth Wilson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

102 Attu Rd
Seaside, CA 93955-6600

Phone

(731) 697-7445

NPI assigned

Aug 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth M Keithline Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1073913091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ATTU ROAD",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "93955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ATTU RD",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939556600",
            "telephone_number": "731-697-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KEITHLINE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael J Wheeler
• Kelsey Whittington
• Julie J Wildman, PH.D.
• Prince Williams, ATC
• Catherine L Wilson, CAS
• Paul G. Wilson, PH.D.
• Audrey Lee Wingo
• Won Life Physical Therapy and Wellness PC
• Kelly Richwood Wright, M.A.
• Kirsten Noelle Yackley, LMFT

• Mental Health Counselor in Seaside, CA
• Providers in Seaside, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.